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PROHEALTH PHYSICIANS PC NPI 1912175639


NPI Information

NPI: 1912175639
Provider Name: PROHEALTH PHYSICIANS PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 07D2001276

Address:
4 FARM SPRINGS RD
FARMINGTON, CT
ZIP 06032
Phone: (860) 284-5200
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PROHEALTH PHYSICIANS PC is a diagnostic radiology radiology in Farmington, CT. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PROHEALTH PHYSICIANS PC NPI is 1912175639. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4 FARM SPRINGS RD
FARMINGTON, CT
ZIP 06032-573
Phone: (860) 284-5200

The provider's authorized official is Philip M Pin .
The authorized official title is Sr. Vp & Ceo and has the following contact phone number (860) 284-5200.

The CLIA number assigned to this NPI record is 07D2001276 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/15/2008 and was last updated on 7/3/2017.


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
1246XS1301XSpecialist/Technologist CardiovascularSonographyNo
22471C3402XRadiologic TechnologistRadiographyNo
32085R0202XRadiologyDiagnostic RadiologyYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.