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Contact Information

MEDICAL SUPPORT INFORMATION SERVICE
444 WASHINGTON BLVD
SUITE 4314
JERSEY CITY, NJ07310-1901
 Phone: 201-653-1892
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for MEDICAL SUPPORT INFORMATION SERVICE

NPI Number 1538308721
LBN Legal business name MEDICAL SUPPORT INFORMATION SERVICE
Authorized official ANDREW JAMES - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2009
Last updated 02/11/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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