Provider Demographics
NPI:1376711473
Name:EMPIRE SCANNING SERVICES, INC
Entity Type:Organization
Organization Name:EMPIRE SCANNING SERVICES, INC
Other - Org Name:CORVITALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:BOTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-559-3413
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-0270
Mailing Address - Country:US
Mailing Address - Phone:800-559-3413
Mailing Address - Fax:631-271-2009
Practice Address - Street 1:789 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-4311
Practice Address - Country:US
Practice Address - Phone:888-401-9998
Practice Address - Fax:800-559-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY97Z301OtherALLIED HEALTH GROUP
NYG1153641OtherOXFORD HEALTH PLANS
NY0X00NZ7915OtherPHYSICIANS HEALTH SERVICES
NY97Z301OtherNEW YORK MEDICARE EMPIRE (NY
NYEM097Z3010OtherBLUE CROSS BLUE SHIELD OF NEW YORK