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Contact Information

SPINE AXIS MEDICAL, INC.
10808 FOOTHILL BLVD
SUITE 160-409
RANCHO CUCAMONGA, CA91730-3889
 Phone: 909-373-4633
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Electroneurodiagnostic

246ZE0600X
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

EEG

2472E0500X 75 Slide Preparation Facility
 

Phlebotomy

246RP1900X
 

Physician Office Based Coding Specialist

246YC3302X
 

Point of Service

305S00000X
 

Preferred Provider Organization

305R00000X
 

Specialist

174400000X
 

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for SPINE AXIS MEDICAL INC · (Female)

NPI Number 1811365414
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2015
Last updated 09/14/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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