Organization Active NPI

Corvista Health, Inc.

  • Physiological Laboratory
  • Bethesda, MD
National Provider Identifier
1821616046
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CORVISTA HEALTH, INC.
Practice address
3 Bethesda Metro Center
Suite 700
Bethesda, MD 20814-6300
Phone
(833) 267-8478
NPI assigned
Jul 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Ms. Julie E Clarke
Title
Business Operations Manager
Phone
(301) 901-0693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

3 Bethesda Metro Center
Suite 700
Bethesda, MD 20814-6300

Mailing address

3 Bethesda Metro Ctr Ste 700
Bethesda, MD 20814-6300

Other names 2

  • A4L (US), INC. Former legal business name
  • Analytics for Life Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240807001744 DC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5294174421 Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory

Locations

401 Harrison Oaks Blvd
Ste 100
Cary, NC 27513

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1821616046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BETHESDA METRO CTR STE 700",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BETHESDA METRO CENTER",
            "address_2": "SUITE 700",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146300",
            "telephone_number": "833-267-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORVISTA HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS MANAGER",
        "authorized_official_telephone_number": "301-901-0693",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A4L (US), INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "A4L (US), INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Analytics for Life Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.