SERENITY MOBILE DIAGNOSTICS LLC NPI 1649874439

NPI Information

NPI: 1649874439
Provider Name: SERENITY MOBILE DIAGNOSTICS LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 31D2276080

Address:
1469 HAMMERSLEY AVE
BRONX, NY
ZIP 10469
Phone: (917) 742-8285
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SERENITY MOBILE DIAGNOSTICS LLC is a health service clinic center in Bronx, NY. SERENITY MOBILE DIAGNOSTICS LLC NPI is 1649874439. The provider is registered as an organization entity type.

The provider's business location address is:

1469 HAMMERSLEY AVE
BRONX, NY
ZIP 10469-024
Phone: (917) 742-8285

The provider's authorized official is Shakeva Brown Nnaji .
The authorized official title is Owner and has the following contact phone number (914) 563-7372.

The CLIA number assigned to this NPI record is 31D2276080 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2020 and was last updated on 5/14/2021.

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
1	261QH0100X	Clinic/Center	Health Service			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: 4/28/2024

NPI Synchronization or Removal

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