Provider Demographics
NPI:1063105559
Name:ENCOMPASS REMOTE INC
Entity type:Organization
Organization Name:ENCOMPASS REMOTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:T BEYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BONAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-747-7849
Mailing Address - Street 1:34 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:PA
Mailing Address - Zip Code:15340-1100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:PA
Practice Address - Zip Code:15340-1100
Practice Address - Country:US
Practice Address - Phone:724-299-1155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory