DISA GLOBAL SOLUTIONS INC NPI 1497574875

NPI Information

  • NPI: 1497574875
  • Provider Name: DISA GLOBAL SOLUTIONS, INC
  • Classification: Clinic/Center - 261QX0100X
  • Specialization: Occupational Medicine
  • Entity Type: Organization
  • CLIA Number: 39D2264947
  • Address: 2605 REACH RD
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 327-8790

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NPI Details

DISA GLOBAL SOLUTIONS, INC is an occupational medicine clinic center in Williamsport, PA. DISA GLOBAL SOLUTIONS, INC NPI is 1497574875. The provider is registered as an organization entity type.

The provider's business location address is:

2605 REACH RD
WILLIAMSPORT, PA
ZIP 17701-392
Phone: (570) 327-8790

The provider's authorized official is Mark Breaux .
The authorized official title is Director, Medical Support and has the following contact phone number (281) 813-9336.

The CLIA number assigned to this NPI record is 39D2264947 - other - occupational hlth clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2024 and was last updated on 10/3/2024.

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
1261QX0100XClinic/CenterOccupational MedicineYes

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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