Harvard Lab & X-Ray, Inc

LBN: Harvard Lab & X-Ray, Inc
Harvard Lab & X-Ray, Inc is an health care organization with primary practice located at 1813 W Harvard Ave Suite 102, Roseburg OR 97470-2752. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as the primary health care specialty. Harvard Lab & X-Ray, Inc can be contacted via phone (541) 440-6316, or through Larsen, Marlin via phone (541) 672-9349.

Contact Information

Primary practice address
1813 W Harvard Ave Suite 102 Roseburg OR 97470-2752
Phone: (541) 440-6316
Fax: (541) 464-4336
Website:
Map and Directions
Authorized official contact:
Name: Larsen, Marlin PHD, BLD
Phone: (541) 672-9349

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X

Profile Details

NPI number 1629140793
LBN Legal business name Harvard Lab & X-Ray, Inc
DBA Doing business as
Authorized official Larsen, Marlin PHD, BLD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629140793 NPPES
Oregon Other J0625 PACIFIC SOURCE
Oregon Other 0000003290 PACIFIC SOURCE
Oregon Other 166173 PACIFIC SOURCE
Oregon MEDICAID 288032 PACIFIC SOURCE

Popular Providers