PROVIDENCE HEALTH SERVICES INC NPI 1598313595

NPI Information

NPI: 1598313595
Provider Name: PROVIDENCE HEALTH SERVICES, INC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Doing Business As: THE PROVIDENCE DIAGNOSTIC IMAGING CENTER
Address: 1150 VARNUM ST NE STE 1
WASHINGTON, DC
ZIP 20017
Phone: (202) 854-7560

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NPI Details

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 1598313595. 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 1
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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Mri scan of lower spinal canal without contrast (HCPCS:72148)
Mri scan of leg joint without contrast (HCPCS:73721)
Mri scan of brain without contrast (HCPCS:70551)
Mri scan of brain before and after contrast (HCPCS:70553)
Mri scan of arm joint without contrast (HCPCS:73221)
Mri scan of upper spinal canal without contrast (HCPCS:72141)
Mri scan of blood vessels of head without contrast (HCPCS:70544)
Mri scan of abdomen before and after contrast (HCPCS:74183)

The enumeration date for this NPI number is 9/3/2019 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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	No
2	261QR0200X	Clinic/Center	Radiology	No
3	261QR0206X	Clinic/Center	Radiology, Mammography	No
4	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier		No
5	293D00000X	Physiological Laboratory		Yes

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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