Provider Demographics
NPI:1548218209
Name:DIAGNOSTIC HEALTH CORPORATION
Entity Type:Organization
Organization Name:DIAGNOSTIC HEALTH CORPORATION
Other - Org Name:HEALTHSOUTH DIAGNOSTIC CENTER OF CAPE ATLANTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:R
Authorized Official - Last Name:FIRESHEETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-685-5000
Mailing Address - Street 1:421 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2060
Mailing Address - Country:US
Mailing Address - Phone:609-927-1133
Mailing Address - Fax:609-926-9598
Practice Address - Street 1:421 BETHEL RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2060
Practice Address - Country:US
Practice Address - Phone:609-927-1133
Practice Address - Fax:609-926-9598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37828Medicare ID - Type UnspecifiedIDTF