Lookup NPI Numbers from the NPI Registry
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) | |
Magnetic Resonance Imaging (MRI) |
261QM1200X | |||
Portable Xray Supplier |
335V00000X | 63 | Portable X-Ray Supplier | |
Radiology |
261QR0200X | 74 | Radiation Therapy Center | |
Radiology, Mammography |
261QR0206X |
| NPI # | 1285208009 |
| LBN Legal business name | PROVIDENCE HEALTH SERVICES, INC |
| Authorized official | MICHAEL DUNWELL - (COORD CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/17/2021 |
| Last updated | 05/06/2022 - About 4 years ago |
| Identifiers | n/a |
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PROVIDENCE HEALTH SERVICES, INC
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PROVIDENCE HEALTH SERVICES, INC