Provider Demographics
NPI:1699811059
Name:RHODE ISLAND BLOOD CENTER
Entity Type:Organization
Organization Name:RHODE ISLAND BLOOD CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. AND CHEIF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:T
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-453-4392
Mailing Address - Street 1:405 PROMENADE STREET
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02908-4811
Mailing Address - Country:US
Mailing Address - Phone:401-453-2393
Mailing Address - Fax:401-248-5750
Practice Address - Street 1:405 PROMENADE STREET
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-4811
Practice Address - Country:US
Practice Address - Phone:401-453-2393
Practice Address - Fax:401-248-5750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD08912291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory