Organization Active NPI

Rhode Island Medical Center LLC

  • Clinical Medical Laboratory
  • East Greenwich, RI
National Provider Identifier
1881061919
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RHODE ISLAND MEDICAL CENTER LLC
Practice address
58 Main St
201
East Greenwich, RI 02818-3888
Phone
(401) 622-4488
Fax
(718) 554-1666
NPI assigned
Aug 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Mr. Alexander E Istomin, MD, MS
Title
Administrator
Phone
(401) 622-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

58 Main St
201
East Greenwich, RI 02818-3888

Mailing address

58 Main St
201
East Greenwich, RI 02818-3888
Phone (401) 622-4488

National Provider Directory

National Provider Directory

Locations

58 Main St
#201
East Greenwich, RI 02818
Phone (401) 622-4488

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1881061919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MAIN ST",
            "address_2": "201",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183888",
            "telephone_number": "401-622-4488",
            "fax_number": "718-554-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MAIN ST",
            "address_2": "201",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183888",
            "telephone_number": "401-622-4488",
            "fax_number": "718-554-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "ISTOMIN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-622-4488",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD, MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.