Harvard Lab & X-Ray, Inc in Roseburg - Body Imaging
Harvard Lab & X-Ray, Inc - NPI 1629140793
Harvard Lab & X-Ray, Inc is a Body Imaging in Roseburg, Oregon. Harvard Lab & X-Ray, Inc practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Harvard Lab & X-Ray, Inc is 1629140793. The last update date is 2020-08-22.
Harvard Lab & X-Ray, Inc's current location address is 1813 W Harvard Ave, Roseburg, Oregon. You can contact this provider via phone number 5414406316 and fax number 5414644336. The mailing address for Harvard Lab & X-Ray, Inc is 1813 W Harvard Ave, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Harvard Lab & X-Ray, Inc |
|---|---|
| Address | 1813 W Harvard Ave, Roseburg, Oregon |
| Phone Number | 5414406316 |
| Fax Number | 5414644336 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Larsen Marlin |
| Credentials | PHD, BLD |
| Telephone Number | 5416729349 |
NPI Number Detail
| NPI Number | 1629140793 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1813 W Harvard Ave |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 974702752 |
| Phone Number | 5414406316 |
| Fax Number | 5414644336 |
Provider's Primary Taxonomy Detail
| Speciality | Body Imaging |
|---|---|
| Taxonomy | 2085B0100X |
|
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J0625 | OR | PACIFIC SOURCE | |
| 3290 | OR | BLUE CROSS OF OREGON | |
| 166173 | OR | DOUGLAS COUNTY IPA | |
| 288032 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Harvard Lab & X-Ray, Inc by the Centers for Medicare & Medicaid Services?
The Harvard Lab & X-Ray, Inc has been assigned the NPI (National Provider Identifier) 1629140793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Harvard Lab & X-Ray, Inc is physically located?
The Harvard Lab & X-Ray, Inc is situated at the following address: 1813 W Harvard Ave, Roseburg, OR 974702752.
What is Harvard Lab & X-Ray, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Harvard Lab & X-Ray, Inc's area of specialization is Body Imaging, and the corresponding taxonomy code that categorizes this field of practice is 2085B0100X.
When did the Harvard Lab & X-Ray, Inc receive its 1629140793?
The Harvard Lab & X-Ray, Inc was issued its 1629140793 on 2006-11-14, which is the date when the organization was assigned this unique identifier.
When was the information related to Harvard Lab & X-Ray, Inc most recently updated or refreshed?
The details pertaining to the Harvard Lab & X-Ray, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.