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Enrollment ID O20210702000602 resolves to a single NPI record. Open the full profile for complete detail.

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NPI · 1588132013 · Active

Impact Health Biometric Testing, Inc.

Clinical Medical Laboratory · King Of Prussia, Pennsylvania

Active

NPI

1588132013

Enrollment ID

O20210702000602

Taxonomy

291U00000X

Type

Part B Supplier - Mass Immunization (roster Biller Only)

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Medicare enrollment

This provider holds 41 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

O20201230001249Mass Immunization (Roster Biller Only)PA
O20210413000837Mass Immunization (Roster Biller Only)TX
O20210415000608Mass Immunization (Roster Biller Only)NV
O20210427003055Mass Immunization (Roster Biller Only)FL
O20210511001075Mass Immunization (Roster Biller Only)CO
O20210513001626Mass Immunization (Roster Biller Only)MO
O20210514000445Mass Immunization (Roster Biller Only)SC
O20210514002512Mass Immunization (Roster Biller Only)GA
O20210518002393Mass Immunization (Roster Biller Only)DE
O20210520002322Mass Immunization (Roster Biller Only)MT
O20210521000364Mass Immunization (Roster Biller Only)OK
O20210603000001Mass Immunization (Roster Biller Only)AL
O20210608002660Mass Immunization (Roster Biller Only)CA
O20210611001491Mass Immunization (Roster Biller Only)MA
O20210617002340Mass Immunization (Roster Biller Only)CT
O20210621000092Mass Immunization (Roster Biller Only)IA
O20210623002815Mass Immunization (Roster Biller Only)DC
O20210624002904Mass Immunization (Roster Biller Only)IN
O20210629001994Mass Immunization (Roster Biller Only)ID
O20210702000602Mass Immunization (Roster Biller Only)ME
O20210702000733Mass Immunization (Roster Biller Only)MI
O20210702002498Mass Immunization (Roster Biller Only)KY
O20210706000548Mass Immunization (Roster Biller Only)MD
O20210706001395Mass Immunization (Roster Biller Only)NE
O20210706001502Mass Immunization (Roster Biller Only)LA
O20210707000404Mass Immunization (Roster Biller Only)NC
O20210707001745Mass Immunization (Roster Biller Only)MS
O20210709000546Mass Immunization (Roster Biller Only)NJ
O20210712003989Mass Immunization (Roster Biller Only)OH
O20210713000759Mass Immunization (Roster Biller Only)RI
O20210713001628Mass Immunization (Roster Biller Only)NH
O20210714000036Mass Immunization (Roster Biller Only)VA
O20210714001192Mass Immunization (Roster Biller Only)MN
O20210715003099Mass Immunization (Roster Biller Only)SD
O20210715003104Mass Immunization (Roster Biller Only)TN
O20210715004037Mass Immunization (Roster Biller Only)WV
O20210719000175Mass Immunization (Roster Biller Only)NY
O20210720002762Mass Immunization (Roster Biller Only)WI
O20210816002817Mass Immunization (Roster Biller Only)OR
O20210909003269Mass Immunization (Roster Biller Only)NM
O20210923000733Mass Immunization (Roster Biller Only)KS

Source: CMS PECOS public enrollment file.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.