Active NPIOrganization

Clean Image

Clinical Medical Laboratory in Pittsfield, Massachusetts

NPI Number1497096960
Practice location
10 Wendell Avenue Ext, Suite 105, Pittsfield, MA 01201-6283
Fax
877-208-8430
Last updated
March 8, 2013

Clean Image is a healthcare organization based in Pittsfield, MA. Clean Image practices in Pittsfield, MA. The NPI Number for Clean Image is 1497096960 and holds a License No. 22D2047480 (MA). The current practice location address for Clean Image is 10 Wendell Avenue Ext, Suite 105, Pittsfield, MA 01201-6283 and can be reached out via phone at 413-464-7521 and via fax at 877-208-8430.

Provider Profile Details

NPI Number
1497096960
Provider Name
Clean Image
Provider Entity Type
Organization
Address
10 Wendell Avenue Ext, Suite 105, Pittsfield, MA 01201-6283
Phone Number
413-464-7521
Fax Number
877-208-8430
Primary Taxonomy
Clinical Medical Laboratory · 291U00000X
Organization Subpart
No
Authorized Official
Mr. Brian Hicks, MLS · President/Laboratory Director · 413-464-7521
Provider Enumeration Date
March 8, 2013
Last Update Date
March 8, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Wendell Avenue Ext
Suite 105
Pittsfield, MA 01201-6283
Zip
01201-6283
Phone Number
413-464-7521
Fax Number
877-208-8430
Pittsfield, MA 01201Get directions →

Provider Business Mailing Address Details

Address
10 Wendell Avenue Ext
Suite 105
Pittsfield, MA 01201-6283
City
Pittsfield
State
MA
Zip
01201-6283
Phone Number
413-464-7521
Fax Number
877-208-8430

License Information

License Number
22D2047480
License State
MA
Taxonomy
Clinical Medical Laboratory · 291U00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Clean Image?

The NPI number of Clean Image is 1497096960. It was assigned on March 8, 2013 and is currently active in the NPPES registry.

What is the specialty of Clean Image?

Clean Image is registered under the primary taxonomy Clinical Medical Laboratory (code 291U00000X), licensed in MA under license number 22D2047480.

Where does Clean Image practice?

The practice location is 10 Wendell Avenue Ext, Suite 105, Pittsfield, MA 01201-6283. The office can be reached at 413-464-7521 (phone) or 877-208-8430 (fax).

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 1497096960 directly on the NPPES registry website.

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