Provider Demographics
NPI:1396156220
Name:SALUBIINFLUENCE
Entity type:Organization
Organization Name:SALUBIINFLUENCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:INFLUENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SALUBI
Authorized Official - Suffix:
Authorized Official - Credentials:RMA,CPT
Authorized Official - Phone:240-593-5172
Mailing Address - Street 1:11200 LOCKWOOD DR APT 515
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4528
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11200 LOCKWOOD DR APT 515
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4528
Practice Address - Country:US
Practice Address - Phone:240-593-5172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INFLUENCE SALUBI
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier