1588035562 NPI number — DIAMOND OCCUPATIONAL HEALTH SERVICES PSC

Table of content: (NPI 1588035562)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588035562 NPI number — DIAMOND OCCUPATIONAL HEALTH SERVICES PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DIAMOND OCCUPATIONAL HEALTH SERVICES PSC
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:
1588035562
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1001 ADAMS AVE
Provider Second Line Business Mailing Address:
MRGOV 2ND FLOOR
Provider Business Mailing Address City Name:
NORRISTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19403-2429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-676-7000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 CARR 865
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00949-5710
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-474-2900
Provider Business Practice Location Address Fax Number:
787-765-5807
Provider Enumeration Date:
10/15/2015

Additional Information

Authorized Official

Authorized Official Last Name:
LAKE
Authorized Official First Name:
J PABLO
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OF REVENUE SERVICES
Authorized Official Telephone Number:
484-676-7000

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; 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