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Contact Information

ADAMANTIUM INK P.A.
3954 E WALLER LN
PHOENIX, AZ85050-4916
 Phone: 713-791-4931
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for ADAMANTIUM INK P.A.

NPI Number 1164836169
LBN Legal business name ADAMANTIUM INK P.A.
Authorized official BRIAN MARASIGAN - (PRESIDENT AND DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2014
Last updated 07/28/2016 - About 10 years ago
Identifiers
AZ License # MD47798
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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