NPI 1598313595

Providence Health Services, INC

Organisation Physiological Laboratory Washington, DC

Practice location

Address: 1150 Varnum St NE STE 1, Washington, DC 20017-2104
Phone: (202) 854-7560
Fax: (202) 854-7951
Mailing address: 1150 Varnum St NE, Washington, DC 20017-2180

Authorised official

Name: Michael Dunwell
Title: Coord Credentialing
Phone: (202) 854-4069

Registered specialties (5)

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in District of Columbia →

Magnetic Resonance Imaging (MRI) Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1200X

Other Clinic/Center providers in District of Columbia →

Radiology Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0200X

Mammography Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0206X

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Suppliers Taxonomy 335V00000X

Other Portable X-ray and/or Other Portable Diagnostic Imaging Supplier providers in District of Columbia →

Registry record

NPI: 1598313595
Entity type: Organization
NPI issued: 3 Sep 2019
Record last updated: 6 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.