Active NPI
Corvista Health, Inc.
- Physiological Laboratory
- Bethesda, MD
National Provider Identifier
1821616046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
- Analytics for Life Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240807001744 | DC | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 5294174421 | Practice locations: Bethesda, MD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Greenbelt, MD
- NPI 1447239561
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.