Provider Demographics
NPI:1548553373
Name:MOBILE ANESTHESIA SERVICES 2, LLC
Entity type:Organization
Organization Name:MOBILE ANESTHESIA SERVICES 2, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-201-4677
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46061-0340
Mailing Address - Country:US
Mailing Address - Phone:317-201-4677
Mailing Address - Fax:888-567-2455
Practice Address - Street 1:14950 MACDUFF DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-8487
Practice Address - Country:US
Practice Address - Phone:317-201-4677
Practice Address - Fax:888-567-2455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty