Providence Diagnostic Imaging, Inc. in Springfield - Diagnostic Ultrasound
Providence Diagnostic Imaging, Inc. - NPI 1609978170
Providence Diagnostic Imaging, Inc. is a Diagnostic Ultrasound in Springfield, Massachusetts. Providence Diagnostic Imaging, Inc. practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Providence Diagnostic Imaging, Inc. is 1609978170. The last update date is 2015-07-01.
Providence Diagnostic Imaging, Inc.'s current location address is 271 Carew St, Springfield, Massachusetts. You can contact this provider via phone number 4137489200. The mailing address for Providence Diagnostic Imaging, Inc. is 271 Carew St, Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Diagnostic Imaging, Inc. |
|---|---|
| Address | 271 Carew St, Springfield, Massachusetts |
| Phone Number | 4137489200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blackman E. Gregory |
| Credentials | M.D. |
| Telephone Number | 4137489200 |
NPI Number Detail
| NPI Number | 1609978170 |
|---|---|
| Provider Enumeration Date | 2006-09-03 |
| Last Updated Date | 2015-07-01 |
Provider Mailing Address Detail
| Address | 271 Carew St |
|---|---|
| City | Springfield |
| State | Massachusetts (MA) |
| Post Code | 11042377 |
| Phone Number | 4137489200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Ultrasound |
|---|---|
| Taxonomy | 2085U0001X |
|
Definition: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102940700 | US DEPARTMENT OF LABOR | ||
| 98133101 | MA | NETWORK HEALTH | |
| 25268 | MA | BMC HEALTHNET PLAN | |
| 755228 | MA | TUFTS | |
| 3126358 | CT | -- | |
| 1601748 | EVERCARE | ||
| 774327 | CONNECTICARE | ||
| 9776559 | MA | -- | |
| CA7920 | RAILROAD MEDICARE | ||
| 783230 | MA | AETNA/US HEALTHCARE |
Post Comment/ Review Below
What is the unique identification code assigned to Providence Diagnostic Imaging, Inc. by the Centers for Medicare & Medicaid Services?
The Providence Diagnostic Imaging, Inc. has been issued the NPI (National Provider Identifier) 1609978170. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Providence Diagnostic Imaging, Inc.'s facilities are geographically located?
The facilities of Providence Diagnostic Imaging, Inc. are physically situated at the following location: 271 Carew St, Springfield, MA, 11042377.
What is Providence Diagnostic Imaging, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Providence Diagnostic Imaging, Inc. is Diagnostic Ultrasound, and the taxonomy classification code that categorizes this area of expertise is 2085U0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609978170 to Providence Diagnostic Imaging, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1609978170 to Providence Diagnostic Imaging, Inc. on 2006-09-03.
As of what date were the details related to Providence Diagnostic Imaging, Inc. most recently updated or revised?
The information pertaining to Providence Diagnostic Imaging, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2015-07-01.
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