Providence Cardiology Testing

LBN: Providence Cardiology Testing
Providence Cardiology Testing is an health care organization with primary practice located at 1 Randall Sq Suite 305, Providence RI 02904-2709. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Providence Cardiology Testing can be contacted via phone (401) 521-0700, or through Klie, Jack Hug via phone (401) 521-0700.

Contact Information

Primary practice address
1 Randall Sq Suite 305 Providence RI 02904-2709
Fax: (401) 521-0906
Website:
Authorized official contact:
Name: Klie, Jack Hug Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4568 Rhode Island

Profile Details

NPI number 1316017874
LBN Legal business name Providence Cardiology Testing
DBA Doing business as
Authorized official Klie, Jack Hug Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Mar 12th, 2009 - about 13 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 1316017874 NPPES
Rhode Island Other 849 BLUE CROSS
Rhode Island MEDICAID 90002630 BLUE CROSS
Rhode Island Other 001218 BLUE CROSS

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