Physicians Ancillary Services LLC
NPI 1568883791ActiveOrganization· Physiological Laboratory· Rocky Hill, CT
Physiological Laboratory in Rocky Hill, Connecticut, registered in NPPES in December 2013. The authorized official on file is Kenneth Weatherwax, Svp Finance. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1568883791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2013 |
| Last updated in NPPES | Nov 2, 2023 |
| Certified by provider | Nov 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (CT) |
|---|