1336492792 NPI number — IN-HOUSE DIAGNOSTIC SERVICES INC

Table of content: CAROLINE MARIE COLIN M.D. (NPI 1164608659)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336492792 NPI number — IN-HOUSE DIAGNOSTIC SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IN-HOUSE DIAGNOSTIC SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336492792
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1489 N MILITARY TRL
Provider Second Line Business Mailing Address:
STE 217
Provider Business Mailing Address City Name:
WEST PALM BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33409-6029
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-712-1285
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1489 N MILITARY TRL
Provider Second Line Business Practice Location Address:
STE 217
Provider Business Practice Location Address City Name:
WEST PALM BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33409-6029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-712-1285
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2012

Additional Information

Authorized Official

Authorized Official Last Name:
CROES
Authorized Official First Name:
IVAR
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
561-712-1285

Provider Taxonomy Codes

  • Taxonomy code: 335V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com