Eureka Diagnostic Imaging Pc

LBN: Eureka Diagnostic Imaging Pc
Eureka Diagnostic Imaging Pc is an health care organization with primary practice located at 25 Ridgewood Rd , Springfield VT 05156-3050. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Eureka Diagnostic Imaging Pc can be contacted via phone (802) 885-7320, or through Wellens, Mark via phone (802) 885-7320.

Contact Information

Primary practice address
25 Ridgewood Rd Springfield VT 05156-3050
Phone: (802) 885-7320
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wellens, Mark Doctor of Medicine (MD)
Phone: (802) 885-7320

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1578504346
LBN Legal business name Eureka Diagnostic Imaging Pc
DBA Doing business as
Authorized official Wellens, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578504346 NPPES
Vermont MEDICAID 0005920
Vermont MEDICAID 81305920
Vermont Other EURE00005920

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