Organization Active NPI

Diagnostic Centers for Health Initiatives

  • Clinical Medical Laboratory
  • West Fargo, ND
National Provider Identifier
1144952631
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DIAGNOSTIC CENTERS FOR HEALTH INITIATIVES
Practice address
601 Main Ave W
West Fargo, ND 58078-1549
Phone
(844) 432-4448
Fax
(844) 432-4448
NPI assigned
Jun 24, 2022
Last updated
Jun 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Abigail Marie Derheim
Title
Ceo
Phone
(844) 432-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

601 Main Ave W
West Fargo, ND 58078-1549

Mailing address

8400 Normandale Lake Blvd Ste 920
Bloomington, MN 55437-3843
Phone (844) 432-4448

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1144952631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NORMANDALE LAKE BLVD STE 920",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373843",
            "telephone_number": "844-432-4448",
            "fax_number": "844-432-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MAIN AVE W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781549",
            "telephone_number": "844-432-4448",
            "fax_number": "844-432-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC CENTERS FOR HEALTH INITIATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "DERHEIM",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-432-4448"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.