Organization · NPI-2
Digitrace Care Services INC
Clinic/Center, Sleep Disorder Diagnostic · Newport News, VA
NPI number1649476334
StatusActive
Last updated in NPPESFeb 6, 2008
Details
- NPI
- 1649476334
- Entity type
- Organization (NPI-2)
- Legal business name
- Digitrace Care Services INC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2007
- Last updated
- Feb 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1200X | Clinic/Center, Sleep Disorder Diagnostic | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
606 Denbigh BlvdSuite 105
Newport News, VA 23608-4413
Phone 978-536-7400
Mailing address
200 Corporate PlSuite 5b
Peabody, MA 01960-3840
Phone 978-536-7400
Authorized official
Carl R Iberger
Evp-Cfo
9785367400
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