Healthcare Provider Details

I. General information

NPI: 1871598540
Provider Name (Legal Business Name): NAVIX DIAGNOSTIX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 11/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MYLES STANDISH BLVD
TAUNTON MA
02780-7321
US

IV. Provider business mailing address

100 MYLES STANDISH BLVD
TAUNTON MA
02780-7321
US

V. Phone/Fax

Practice location:
  • Phone: 508-880-3700
  • Fax:
Mailing address:
  • Phone: 508-880-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MS. CHERYL FORD
Title or Position: CEO
Credential:
Phone: 508-880-3700