Doctors Choice Professional Laboratory & Diagnostic Services, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOCTORS CHOICE PROFESSIONAL LABORATORY & DIAGNOSTIC SERVICES, INC.

Doing business as

Doctors Choice

Practice address

1 Titus Rd
Washington Depot, CT 06794-1516

Phone

(888) 852-2723

Fax

(888) 952-2723

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 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. Kevin BodlingNPI 1992087209

Title

President

Phone

(888) 852-2723

Specialties & licenses 6

Addresses

Other names 1

• Doctors Choice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Keith Bodling, D.C.

  • Internist Chiropractor
  • Washington Depot, CT
  • NPI 1992087209
  Authorized official Same address or phone

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1740687441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "WASHINGTON",
            "state": "CT",
            "postal_code": "067930272",
            "telephone_number": "888-852-2723",
            "fax_number": "888-952-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TITUS RD",
            "city": "WASHINGTON DEPOT",
            "state": "CT",
            "postal_code": "067941516",
            "telephone_number": "888-852-2723",
            "fax_number": "888-952-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CHOICE PROFESSIONAL LABORATORY & DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "BODLING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-852-2723",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Choice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Keith Bodling, D.C.
• Connecticut Therapy Associates, LLC
• John P Ewing, MD
• Judith Gorra, MFT
• Allan Herbert Grunberg, M.D.
• Alistair Highet, M.A., L.P.
• Georgia G Hynes, CCDP,CCS,CAC,NCACII

• Family Medicine Physician in Washington Depot, CT
• Providers in Washington Depot, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.