Active NPI
Diagnostic Centers for Health Initiatives
- Clinical Medical Laboratory
- West Fargo, ND
National Provider Identifier
1144952631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.