Organization
NAVIX DIAGNOSTIX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY A MACDONALD (REIMBURSEMENT MANAGER)
(508) 880-3700
Entity
Organization
Contact information
Practice address
100 MYLES STANDISH BLVD, TAUNTON, MA 02780-7321
(508) 880-3700
(508) 880-8679
Mailing address
100 MYLES STANDISH BLVD, TAUNTON, MA 02780-7321
(508) 880-3700
(508) 880-8679
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327038
MEDICARE PROVIDER NUMBER
MA
Enumeration date
07/26/2007
Last updated
07/26/2007
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