Provider Demographics
NPI:1871598540
Name:NAVIX DIAGNOSTIX, INC.
Entity type:Organization
Organization Name:NAVIX DIAGNOSTIX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-880-3700
Mailing Address - Street 1:100 MYLES STANDISH BLVD
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-7321
Mailing Address - Country:US
Mailing Address - Phone:508-880-3700
Mailing Address - Fax:
Practice Address - Street 1:100 MYLES STANDISH BLVD
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-7321
Practice Address - Country:US
Practice Address - Phone:508-880-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-17
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA470000118OtherMEDICARE RAILROAD RETIREMENT
NH30810312Medicaid
MA0805963Medicaid
CT003105344Medicaid
RI9002893Medicaid
NJ021330Medicare ID - Type Unspecified
MA327038Medicare ID - Type Unspecified
DCFDV002Medicare PIN
RI470000029Medicare ID - Type Unspecified
MA0805963Medicaid
NH30810312Medicaid