NPI Code Detail JSON Logo

1265023543 NPI number — KERECIS LLC

NPI Number: 1265023543
Health Care Provider/Practitioner: KERECIS LLC

Information about “1265023543” NPI (KERECIS LLC) exists in 1265023543 in HTML format HTML  |  1265023543 in plain Text format TXT  |  1265023543 in PDF (Portable Document Format) PDF  |  1265023543 in an XML format XML  formats.

NPI Number : 1265023543 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265023543",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KERECIS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2300 CLARENDON BLVD STE 1210",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22201-3300",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-328-9091",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2300 CLARENDON BLVD STE 1210",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ARLINGTON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22201-3300",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-328-9091",
    "PracticeLocationAddressFaxNumber": "703-287-8752",
    "EnumerationDate": "01/29/2021",
    "LastUpdateDate": "01/29/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SMITH",
    "AuthorizedOfficialFirstName": "JOSEPH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE VICE PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "703-287-8752",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332BC3200X",
        "TaxonomyName": "Customized Equipment (DME)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.