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ATMED TREATMENT CENTER
NPI 1063684900
Non-Pharmacy Dispensing Site in Johnston, RI

Active since April 01, 2008CLIA 41D0892960 · Waiver
1524 ATMED AVENUE, SUITE 122, JOHNSTON, RI 02919(401) 273-9400 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Atmed Treatment Center NPPES

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

ATMED TREATMENT CENTER (NPI 1063684900) is a healthcare organization registered as a non-pharmacy dispensing site in Johnston, Rhode Island and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Scott Peterson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063684900
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameATMED TREATMENT CENTER INC
Location Address1524 ATMED AVENUE, SUITE 122Johnston, RI 02919
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Phone(401) 273-9400
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialScott PetersonCfo · (858) 625-2990
Enumeration DateApril 1, 2008
Last NPPES UpdateOctober 20, 2016
✔ NPI 1063684900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in RI · MD09384
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1524 ATMED AVENUE, Johnston, RI 02919
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Other Names 1

Doing Business AsAtmed Treatment Center

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 Waiver 41D0892960

Atmed Treatment Center · Johnston, RI
Active · expires Feb 29, 2028
CLIA Number41D0892960
Laboratory TypeUrgent Care Facility
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorWilfredo Canchis
Laboratory Phone(401) 273-9400
Laboratory LocationAtmed Treatment Center1524 Atwood Avenue Suite 122, Johnston, RI 02919
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Atmed Treatment Center Inc's NPI number?

The NPI number for Atmed Treatment Center Inc is 1063684900. It was assigned to this organization in the NPPES registry on April 1, 2008. The provider is doing business as Atmed Treatment Center.

Where is Atmed Treatment Center Inc located?

Atmed Treatment Center Inc is located at 1524 Atmed Avenue Suite 122, Johnston, RI 02919. The listed phone number is (401) 273-9400.

What is Atmed Treatment Center Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Atmed Treatment Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0892960) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atmed Treatment Center Inc was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.