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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.

NPI # 1811365414
LBN Legal business name SPINE AXIS MEDICAL, INC.
Authorized official JOE WRIGHT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2015
Last updated 09/14/2015 - About 11 years ago
Identifiers n/a
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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