Healthcare Provider Details
I. General information
NPI: 1336938851
Provider Name (Legal Business Name): VERIFY DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
512 TOWNSHIP LINE RD STE 135
BLUE BELL PA
19422-2700
US
IV. Provider business mailing address
22 WESTEDGE ST FL 8
CHARLESTON SC
29403-6982
US
V. Phone/Fax
- Phone: 610-482-1960
- Fax:
- Phone: 854-429-1069
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHRISTOPHER
HOWLETT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 206-399-6032