Healthcare Provider Details

I. General information

NPI: 1053566497
Provider Name (Legal Business Name): PEARMED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2008
Last Update Date: 11/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17734 W STATLER DR
SURPRISE AZ
85388-1764
US

IV. Provider business mailing address

17734 W STATLER DR
SURPRISE AZ
85388-1764
US

V. Phone/Fax

Practice location:
  • Phone: 480-304-5600
  • Fax:
Mailing address:
  • Phone: 480-304-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MS. LARA MORSE PROFFIT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.M., H.R.M.
Phone: 480-304-5600