Healthcare Provider Details

I. General information

NPI: 1578271573
Provider Name (Legal Business Name): MEDICAL EVALUATION SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S 336TH ST STE 150
FEDERAL WAY WA
98003-5946
US

IV. Provider business mailing address

505 S 336TH ST STE 150
FEDERAL WAY WA
98003-5946
US

V. Phone/Fax

Practice location:
  • Phone: 253-733-5615
  • Fax:
Mailing address:
  • Phone: 253-733-5215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. CRYSTAL C CARVOTTA-BROWN
Title or Position: SVP, COMPLIANCE
Credential: ESQ, RN
Phone: 339-987-9106