PACIFICO ENTERPRISE LLC; NPI #1629874847

Contact Information

PACIFICO ENTERPRISE LLC

30 SCHILLINGER RD N STE 102
MOBILE, AL 36608-5060

Phone: 251-388-9055
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Specialist/Technologist Cardiovascular, Sonography	246XS1301X
Health Service	261QH0100X
Portable Xray Supplier	335V00000X	63	Portable X-Ray Supplier

Indicates primary specialty

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NPI Profile & details for PACIFICO ENTERPRISE LLC

NPI #	`1629874847`
LBN Legal business name	PACIFICO ENTERPRISE LLC
Authorized official	NIA MASEY - (COO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/19/2025
Last updated	04/30/2025 - More than a year 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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