Healthcare Provider Details

I. General information

NPI: 1184554164
Provider Name (Legal Business Name): JS MEDVIBES FREIGHT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10314 W WINDSOR AVE
AVONDALE AZ
85392-4671
US

IV. Provider business mailing address

10314 W WINDSOR AVE
AVONDALE AZ
85392-4671
US

V. Phone/Fax

Practice location:
  • Phone: 602-384-0477
  • Fax:
Mailing address:
  • Phone: 602-384-0477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code125Q00000X
TaxonomyOral Medicine Dentistry
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JEEVAN J SETIA
Title or Position: CEO
Credential:
Phone: 480-572-7741