Provider Demographics
NPI:1538456637
Name:ILLUMINE MEDICAL BILLING SERVICE, LP
Entity type:Organization
Organization Name:ILLUMINE MEDICAL BILLING SERVICE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEKESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NARINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-294-3145
Mailing Address - Street 1:PO BOX 3098
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08903-3098
Mailing Address - Country:US
Mailing Address - Phone:201-294-3145
Mailing Address - Fax:732-317-1290
Practice Address - Street 1:85S MANOR CRES
Practice Address - Street 2:BLDG# 23
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1697
Practice Address - Country:US
Practice Address - Phone:201-294-3145
Practice Address - Fax:732-317-1290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-09
Last Update Date:2011-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty