Healthcare Provider Details

I. General information

NPI: 1548218209
Provider Name (Legal Business Name): DIAGNOSTIC HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 BETHEL RD
SOMERS POINT NJ
08244-2060
US

IV. Provider business mailing address

421 BETHEL RD
SOMERS POINT NJ
08244-2060
US

V. Phone/Fax

Practice location:
  • Phone: 609-927-1133
  • Fax: 609-926-9598
Mailing address:
  • Phone: 609-927-1133
  • Fax: 609-926-9598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: PATSY R FIRESHEETS
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 205-685-5000