Healthcare Provider Details

I. General information

NPI: 1316575699
Provider Name (Legal Business Name): CERTIFIED MEDICAL BILLING AND CODING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 03/31/2020
Certification Date: 03/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 S IRONWOOD DR STE 102
APACHE JUNCTION AZ
85120-6242
US

IV. Provider business mailing address

4222 N 62ND PL
SCOTTSDALE AZ
85251-3008
US

V. Phone/Fax

Practice location:
  • Phone: 480-604-2224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW J NASH
Title or Position: CEO
Credential:
Phone: 888-743-4233