Provider Demographics
NPI:1902254212
Name:SYMBIA HEALTH TECHNOLOGIES
Entity Type:Organization
Organization Name:SYMBIA HEALTH TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THIRU
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-903-3423
Mailing Address - Street 1:7282 FENTON RD
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8400
Mailing Address - Country:US
Mailing Address - Phone:248-479-3159
Mailing Address - Fax:
Practice Address - Street 1:7282 FENTON RD
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8400
Practice Address - Country:US
Practice Address - Phone:248-479-3159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health InformationGroup - Multi-Specialty