Healthcare Provider Details

I. General information

NPI: 1639681166
Provider Name (Legal Business Name): SILVERCORD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2017
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 WHEELER AVENUE #661000
ARCADIA CA
91006-9998
US

IV. Provider business mailing address

41 WHEELER AVE
ARCADIA CA
91006-3214
US

V. Phone/Fax

Practice location:
  • Phone: 888-851-3677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: STACEY BEARDEN
Title or Position: DIRECTOR
Credential:
Phone: 303-929-2001