PROVIDENCE CARDIOLOGY TESTING NPI 1316017874

NPI Information

  • NPI: 1316017874
  • Provider Name: PROVIDENCE CARDIOLOGY TESTING
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 1 RANDALL SQ
    SUITE 305
    PROVIDENCE, RI
    ZIP 02904
  • Phone: (401) 521-0700

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NPI Details

PROVIDENCE CARDIOLOGY TESTING is a cardiovascular disease internal medicine in Providence, RI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PROVIDENCE CARDIOLOGY TESTING NPI is 1316017874. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 RANDALL SQ
SUITE 305
PROVIDENCE, RI
ZIP 02904-709
Phone: (401) 521-0700
Fax: (401) 521-0906

The provider's authorized official is Jack Hug Klie .
The authorized official title is President and has the following contact phone number (401) 521-0700.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 3/12/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease4568RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001218OTHERRHODE ISLANDBLUE CHIP
2849OTHERRHODE ISLANDBLUE CROSS
3069002630MEDICARE PINRHODE ISLAND
4C90497MEDICARE UPINRHODE ISLAND
590002630MEDICAIDRHODE ISLAND

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: 11/21/2025

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