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LANDMARK MC EKG DEPT.
NPI 1043297112
Internal Medicine - Cardiovascular Disease in Woonsocket, RI

Active since December 29, 2005CLIA 41D0002515 · Accreditation
115 CASS AVE, WOONSOCKET, RI 02895(401) 769-4100(401) 765-6024 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Landmark Mc Ekg Dept. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANDMARK MC EKG DEPT. (NPI 1043297112) is a healthcare organization registered as a cardiovascular disease in Woonsocket, Rhode Island and active in the NPI registry since December 2005. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Richard Charest, President, as its authorized official.

NPPES Registry Identity

NPI1043297112
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameLANDMARK MEDICAL CENTER
Location Address115 CASS AVEWoonsocket, RI 02895-4705
Mailing Address196 Cass AveWoonsocket, RI 02895-4712 · (401) 769-4100 · Fax (401) 765-6024
Phone(401) 769-4100
Fax(401) 765-6024
Organization SubpartNo
Authorized OfficialRichard CharestPresident · (401) 769-4100
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 28, 2010
✔ NPI 1043297112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in RI · 00117
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
115 CASS AVE, Woonsocket, RI 02895
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Other Names 1

Doing Business AsLandmark Mc Ekg Dept.

Other Identifiers 5

Medicare ID-Type Unspecified069006486RI · Medicare
Other0000006486RI · Blue Shield/blue Chip
Other903288MA · Tufts Health Plan (op)
Other903289MA · Tufts Health Plan (ip)
Medicaid9006486RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 41D0002515

Landmark Medical Center · Woonsocket, RI
Active · expires Feb 8, 2027
CLIA Number41D0002515
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Ahmed Nadeem
Laboratory Phone(401) 769-4100
Laboratory LocationLandmark Medical Center115 Cass Avenue, Woonsocket, RI 02895
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES J KIM MD
Anesthesiology
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
LANA ADEL TANNOUS MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
BLACKSTONE MEDICAL CENTER, INC.
Internal Medicine
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. OMAR ALKASABRAH MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
DR. DAREN D GIRARD MD
Emergency Medicine
115 CASS AVE, EMERGENCY MEDICINE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
EMILY HOCHREINER
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
SALMAN AYUB JAJJA MD
Student in an Organized Health Care Education/Training Program
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100
MR. GERARD FRANCIS DOUGHERTY P.A.
Physician Assistant (Medical)
115 CASS AVE
WOONSOCKET, RI 02895
Providence County (401) 769-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Landmark Medical Center's NPI number?

The NPI number for Landmark Medical Center is 1043297112. It was assigned to this organization in the NPPES registry on December 29, 2005. The provider is doing business as Landmark Mc Ekg Dept..

Where is Landmark Medical Center located?

Landmark Medical Center is located at 115 Cass Ave, Woonsocket, RI 02895. The listed phone number is (401) 769-4100.

What is Landmark Medical Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Landmark Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 41D0002515) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Landmark Medical Center was last updated on July 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.