Provider Demographics
NPI:1316731573
Name:GLOBALEDGE CONSULTANCY LLC
Entity type:Organization
Organization Name:GLOBALEDGE CONSULTANCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAZEMORE QUAYE
Authorized Official - Suffix:
Authorized Official - Credentials:DBH, CFNC, CEAP, SAP
Authorized Official - Phone:443-636-0686
Mailing Address - Street 1:29697 N 69TH DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-3178
Mailing Address - Country:US
Mailing Address - Phone:443-636-0686
Mailing Address - Fax:
Practice Address - Street 1:5041 W NORTHERN AVE STE B
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-1539
Practice Address - Country:US
Practice Address - Phone:602-509-2677
Practice Address - Fax:602-509-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty