Healthcare Provider Details

I. General information

NPI: 1255244562
Provider Name (Legal Business Name): ASGARD CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8970 N TWAIN ST
TUCSON AZ
85742-4445
US

IV. Provider business mailing address

8970 N TWAIN ST
TUCSON AZ
85742-4445
US

V. Phone/Fax

Practice location:
  • Phone: 520-820-6756
  • Fax:
Mailing address:
  • Phone: 520-820-6756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name: MR. LEE OLIVER EASTER III
Title or Position: CEO
Credential:
Phone: 520-820-6756