Provider Demographics
NPI:1649938226
Name:DIAGNOSTIC CARE NOW LLC
Entity type:Organization
Organization Name:DIAGNOSTIC CARE NOW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-478-8410
Mailing Address - Street 1:284 MACDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2402
Mailing Address - Country:US
Mailing Address - Phone:267-237-7559
Mailing Address - Fax:877-291-0413
Practice Address - Street 1:284 MACDONALD AVE
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2402
Practice Address - Country:US
Practice Address - Phone:215-478-8410
Practice Address - Fax:877-291-0413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1039722840001Medicaid
DE250693490Medicaid