Interra SW Diagnostics LLC
Psychiatry & Neurology, Neurology in West Hartford, Connecticut
1013669381- Practice location
- 1 Memorial RD, West Hartford, CT 06107-2208
- Phone
- 864-315-2627
- Fax
- —
- Last updated
- January 19, 2022
Interra SW Diagnostics LLC is a healthcare organization based in West Hartford, CT. Interra SW Diagnostics LLC practices in West Hartford, CT. The NPI Number for Interra SW Diagnostics LLC is 1013669381. The current practice location address for Interra SW Diagnostics LLC is 1 Memorial RD, West Hartford, CT 06107-2208 and can be reached out via phone at 864-315-2627.
Provider Profile Details
- NPI Number
- 1013669381
- Provider Name
- Interra SW Diagnostics LLC
- Provider Entity Type
- Organization
- Address
- 1 Memorial RD, West Hartford, CT 06107-2208
- Phone Number
- 864-315-2627
- Primary Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X
- Organization Subpart
- No
- Authorized Official
- George Khouri, MD · Sole Member · 803-917-8378
- Provider Enumeration Date
- January 19, 2022
- Last Update Date
- January 19, 2022
- Certification Date
- January 17, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Memorial RD
West Hartford, CT 06107-2208 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107-2208
- Phone Number
- 864-315-2627
Provider Business Mailing Address Details
- Address
- 1 Memorial RD
West Hartford, CT 06107-2208 - City
- West Hartford
- State
- CT
- Zip
- 06107-2208
License Information
- Taxonomy
- Psychiatry & Neurology, Neurology · 2084N0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Neurology providers near West Hartford, CT
View all Psychiatry & Neurology, Neurology providers in West Hartford →Frequently Asked Questions
What is the NPI number of Interra SW Diagnostics LLC?
The NPI number of Interra SW Diagnostics LLC is 1013669381. It was assigned on January 19, 2022 and is currently active in the NPPES registry.
What is the specialty of Interra SW Diagnostics LLC?
Interra SW Diagnostics LLC is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X).
Where does Interra SW Diagnostics LLC practice?
The practice location is 1 Memorial RD, West Hartford, CT 06107-2208. The office can be reached at 864-315-2627 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013669381 directly on the NPPES registry website.