National Provider Identifier Database

PROVIDENCE HEALTH SERVICES INC
Physiological Laboratory, (Independent Physiological Lab)

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.


Contact Information

PROVIDENCE HEALTH SERVICES, INC
1150 VARNUM ST NE STE 1
WASHINGTON, DC20017-2104
Phone: 202-854-7560
Fax: 202-854-7951
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Magnetic Resonance Imaging (MRI) 261QM1200X
Portable Xray Supplier 335V00000X
Radiology 261QR0200X
Radiology, Mammography 261QR0206X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH SERVICES, INC

NPI Number 1598313595
Legal business name
LBN
PROVIDENCE HEALTH SERVICES, INC
Authorized official MICHAEL DUNWELL - (COORD CREDENTIALING)
Entity Organization
Organization subpart No
Enumeration date 09/03/2019
Last updated 05/06/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PROVIDENCE HEALTH SERVICES, INC

There are currently no reviews for PROVIDENCE HEALTH SERVICES, INC


NPIdb - Home
v2.201