Organization Name: | EXETER HAMPTON DIAGNOSTIC, INC |
NPI Number: | 1396822300 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK WINDT (OWNER) |
Mailing Address: | 65 Lafayette Rd North Hampton |
State: | NH US |
Postal Code: | 038622480 |
Phone Number: | 6039643392 |
Fax Number: | 6039643396 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 02/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | 02815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |