DIGITRACE CARE SERVICES INC NPI 1881604411

NPI Information

NPI: 1881604411
Provider Name: DIGITRACE CARE SERVICES INC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
3301 WOODBURN RD
SUITE 201
ANNANDALE, VA
ZIP 22003
Phone: (703) 383-0156
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DIGITRACE CARE SERVICES INC is a sleep disorder diagnostic clinic center in Annandale, VA. DIGITRACE CARE SERVICES INC NPI is 1881604411. The provider is registered as an organization entity type.

The provider's business location address is:

3301 WOODBURN RD
SUITE 201
ANNANDALE, VA
ZIP 22003-229
Phone: (703) 383-0156

The provider's authorized official is Carl R. Iberger .
The authorized official title is Evp-cfo and has the following contact phone number (978) 536-7400.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 10/14/2009.

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
1	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			Yes

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
1	85970001	OTHER	VIRGINIA	CARE FIRST
2	85970002	OTHER	VIRGINIA	CARE FIRST
3	102822	OTHER	VIRGINIA	KAISER
4	8011510	OTHER	VIRGINIA	CIGNA
5	252927	OTHER	VIRGINIA	OPTIMUM CHOICE
6	252927	OTHER	VIRGINIA	MIDPA
7	659561	OTHER	VIRGINIA	SOUTHERN HEALTH
8	FDS017	MEDICARE PIN	VIRGINIA
9	202062	OTHER	VIRGINIA	ANTHEM BCBS - PIN
10	252927	OTHER	VIRGINIA	ALLIANCE
11	419630	OTHER	MARYLAND	CARE FIRST
12	470001709	OTHER	VIRGINIA	RR MEDICARE
13	002284081	MEDICAID	VIRGINIA
14	MT35	OTHER	VIRGINIA	BCBS
15	2860005	OTHER	VIRGINIA	AETNA
16	85TZDI	OTHER	MARYLAND	CARE FIRST
17	=========097	OTHER	VIRGINIA	TRICARE
18	252927	OTHER	VIRGINIA	MAMSI
19	520537	OTHER	MARYLAND	CARE FIRST
20	7618325	OTHER	VIRGINIA	AETNA

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: 5/5/2024

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