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PROVIDENCE HEALTH SERVICES INC NPI 1285208009


NPI Information

NPI: 1285208009
Provider Name: PROVIDENCE HEALTH SERVICES, INC

Doing Business As: THE PROVIDENCE DIAGNOSTIC IMAGING CENTER

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
1150 VARNUM ST NE STE 2
WASHINGTON, DC
ZIP 20017
Phone: (202) 854-7560
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PROVIDENCE HEALTH SERVICES, INC is a physiological laboratory in Washington, DC. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. PROVIDENCE HEALTH SERVICES, INC NPI is 1285208009. The provider is registered as an organization entity type.
The provider Is Doing Business As The Providence Diagnostic Imaging Center.

The provider's business location address is:

1150 VARNUM ST NE STE 2
WASHINGTON, DC
ZIP 20017-104
Phone: (202) 854-7560
Fax: (202) 854-7951

The provider's authorized official is Michael Dunwell .
The authorized official title is Coord Credentialing and has the following contact phone number (202) 854-4069.

The enumeration date for this NPI number is 5/17/2021 and was last updated on 5/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)No
2261QR0200XClinic/CenterRadiologyNo
3261QR0206XClinic/CenterRadiology, MammographyNo
4335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierNo
5293D00000XPhysiological LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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