Provider Demographics
NPI: | 1124897681 |
---|---|
Name: | INVEIN INC |
Entity type: | Organization |
Organization Name: | INVEIN INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT/DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | KIRSTEN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BRIDGEFORD |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 202-421-6965 |
Mailing Address - Street 1: | PO BOX 1605 |
Mailing Address - Street 2: | |
Mailing Address - City: | HYATTSVILLE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20785-0605 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 202-421-6965 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1114 WINDING BROOK CT |
Practice Address - Street 2: | |
Practice Address - City: | BOWIE |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20721-3111 |
Practice Address - Country: | US |
Practice Address - Phone: | 202-421-6965 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-12-26 |
Last Update Date: | 2023-12-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 291U00000X | Laboratories | Clinical Medical Laboratory | ||
No | 163WC1600X | Nursing Service Providers | Registered Nurse | Continuing Education/Staff Development | Group - Multi-Specialty |
No | 207ZB0001X | Allopathic & Osteopathic Physicians | Pathology | Blood Banking & Transfusion Medicine | Group - Multi-Specialty |
No | 2278E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Emergency Care | Group - Multi-Specialty |
No | 2279E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Emergency Care | Group - Multi-Specialty |
No | 246QL0900X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Pathology | Laboratory Management | Group - Multi-Specialty |
No | 247ZC0005X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Clinical Laboratory Director, Non-physician | Group - Multi-Specialty |
No | 347D00000X | Transportation Services | Train |