1255884904 NPI number — A CHANCE TO CHANGE DRUG AND ALCOHOL TESTING, LLC

Table of content: (NPI 1255884904)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255884904 NPI number — A CHANCE TO CHANGE DRUG AND ALCOHOL TESTING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A CHANCE TO CHANGE DRUG AND ALCOHOL TESTING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255884904
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/29/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1260 GRANGER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORTONVILLE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48462-9223
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-881-5298
Provider Business Mailing Address Fax Number:
248-627-6368

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 N MORSE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANDUSKY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48471-1125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-648-9144
Provider Business Practice Location Address Fax Number:
810-537-5033
Provider Enumeration Date:
07/29/2016

Additional Information

Authorized Official

Authorized Official Last Name:
HULETT
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
Authorized Official Title or Position:
BOOKKEEPER
Authorized Official Telephone Number:
248-881-5298

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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