Rhode Island Blood Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MD08912 Issued in RI

Legal business name

RHODE ISLAND BLOOD CENTER

Practice address

405 Promenade Street
Providence, RI 02908-4811

Phone

(401) 453-2393

Fax

(401) 248-5750

NPI assigned

Jan 30, 2007

Last updated

Oct 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn T Young, M.D.

Title

V.P. and Cheif Medical Officer

Phone

(401) 453-4392

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1699811059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 PROMENADE STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084811",
            "telephone_number": "401-453-2393",
            "fax_number": "401-248-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 PROMENADE STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084811",
            "telephone_number": "401-453-2393",
            "fax_number": "401-248-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND BLOOD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "V.P. AND CHEIF MEDICAL OFFICER",
        "authorized_official_telephone_number": "401-453-4392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "RI",
            "license": "MD08912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Reznik, M.D.
• Justin Wunil Rhee
• Katia Rhibani
• Rhode Island Anesthesia Services LLC
• Rhode Island Blood Center
• Rhode Island Center for Eating Recovery and Performance
• Rhode Island College
• Rhode Island Companion Services LLC
• Rhode Island CVS Pharmacy LLC (CVS Pharmacy # 00994)
• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 01294)

• Clinical Medical Laboratory in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Medical Laboratory in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.