Provider Demographics
NPI:1528357373
Name:PROFESSIONAL AUTHORIZATION CLAIM SERVICE
Entity type:Organization
Organization Name:PROFESSIONAL AUTHORIZATION CLAIM SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CBCS
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:ZORAIDA
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:CBCS
Authorized Official - Phone:702-998-2506
Mailing Address - Street 1:1818 MOSER DR.
Mailing Address - Street 2:#B
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-4478
Mailing Address - Country:US
Mailing Address - Phone:702-998-5206
Mailing Address - Fax:702-998-5206
Practice Address - Street 1:1818 MOSER DR.
Practice Address - Street 2:#B
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89011-4478
Practice Address - Country:US
Practice Address - Phone:702-998-5206
Practice Address - Fax:702-998-5206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV010H2011300605246Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Multi-Specialty