Organization · Type 2 NPI

State of Rhode Island

Clinical Medical Laboratory · Providence, RI

NPI number 1174690887 Active

Practice location

50 Orms St
Providence, RI 02904-2222

Fax (401) 222-6985

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	LCI00216 (RI)

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1174690887
Entity type: Organization (Type 2)
Issued: Nov 29, 2006
Last updated: Oct 11, 2023
Status: Active

Other names

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Rhode Island State Health Laboratories · doing business as
Rhode Island State Health Laboratories · other name

Authorized official

Glen Gallagher, PhD
Lab Director
(401) 222-1720

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174690887

State of Rhode Island's National Provider Identifier is 1174690887, issued on Nov 29, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Providence, RI. The record was last updated on Oct 11, 2023.