Provider Demographics
NPI: | 1245698323 |
---|---|
Name: | INTERFACE MEDICAL BILLING, INC. |
Entity type: | Organization |
Organization Name: | INTERFACE MEDICAL BILLING, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | N/A |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SAJIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MONUGION |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 909-373-4633 |
Mailing Address - Street 1: | 154-A W. FOOTHILL BLVD |
Mailing Address - Street 2: | SUITE 406 |
Mailing Address - City: | UPLAND |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91786 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 154-A W. FOOTHILL BLVD |
Practice Address - Street 2: | SUITE 406 |
Practice Address - City: | UPLAND |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91786 |
Practice Address - Country: | US |
Practice Address - Phone: | 909-373-4633 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-02-04 |
Last Update Date: | 2016-02-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251B00000X | Agencies | Case Management | ||
No | 1223S0112X | Dental Providers | Dentist | Oral and Maxillofacial Surgery | Group - Multi-Specialty |
No | 246RP1900X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Phlebotomy | Group - Multi-Specialty |
No | 246Z00000X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Group - Multi-Specialty | |
No | 246ZE0600X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic | Group - Multi-Specialty |
No | 247200000X | Technologists, Technicians & Other Technical Service Providers | Technician, Other | Group - Multi-Specialty | |
No | 251K00000X | Agencies | Public Health or Welfare | ||
No | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical | |
No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service | |
No | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty | |
No | 261QS0112X | Ambulatory Health Care Facilities | Clinic/Center | Oral and Maxillofacial Surgery | |
No | 302F00000X | Managed Care Organizations | Exclusive Provider Organization | ||
No | 305R00000X | Managed Care Organizations | Preferred Provider Organization | ||
No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |