Provider Demographics
NPI:1386900876
Name:24 SEVEN MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:24 SEVEN MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRABHJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-299-2400
Mailing Address - Street 1:2015 BURKE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86406-8149
Mailing Address - Country:US
Mailing Address - Phone:480-299-2400
Mailing Address - Fax:855-223-7549
Practice Address - Street 1:2015 BURKE LN
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86406-8149
Practice Address - Country:US
Practice Address - Phone:480-299-2400
Practice Address - Fax:855-223-7549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionistGroup - Single Specialty