Healthcare Provider Details

I. General information

NPI: 1306096391
Provider Name (Legal Business Name): NAVIX DIAGNSOTIX, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 09/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 ATWOOD AVE LL2 STE 244
JOHNSTON RI
02919-3228
US

IV. Provider business mailing address

100 MYLES STANDISH BLVD
TAUNTON MA
02780-7321
US

V. Phone/Fax

Practice location:
  • Phone: 401-276-9180
  • Fax:
Mailing address:
  • Phone: 508-880-3700
  • Fax: 508-880-2093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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