Healthcare Provider Details

I. General information

NPI: 1538745252
Provider Name (Legal Business Name): DIMENSIONS HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15001 HEALTH CENTER DR
BOWIE MD
20716-1017
US

IV. Provider business mailing address

15001 HEALTH CENTER DR
BOWIE MD
20716-1017
US

V. Phone/Fax

Practice location:
  • Phone: 301-618-3131
  • Fax:
Mailing address:
  • Phone: 301-618-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BROZIC
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 410-913-1546