Organization · NPI-2

Digitrace Care Services INC

Clinic/Center, Sleep Disorder Diagnostic · Warwick, RI

NPI number1538114277
StatusActive
Last updated in NPPESOct 15, 2009

Details

NPI
1538114277
Entity type
Organization (NPI-2)
Legal business name
Digitrace Care Services INC
Organization subpart
No
Enumeration date
May 23, 2006
Last updated
Oct 15, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1200X Clinic/Center, Sleep Disorder Diagnostic––Yes

Practice location

227 Centerville Rd
Warwick, RI 02886-4394

Phone 401-274-5716 · Fax 401-272-2646

Mailing address

200 Corporate Pl
Suite 5b
Peabody, MA 01960-3840

Phone 978-536-7400 · Fax 978-535-9757

Authorized official

Carl Iberger
Evp Cfo
9785366105

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