MEDICARE: SCIENTIFIC TECHNOLOGIES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1497005870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCIENTIFIC TECHNOLOGIES CORP

Provider Business Mailing Address
First Line	:	4400 E BROADWAY BLVD
Second Line	:	SUITE 700
City	:	TUCSON
State	:	AZ
Zip	:	85711-3517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 E BROADWAY BLVD
Second Line	:	SUITE 700
City	:	TUCSON
State	:	AZ
Zip	:	85711-3517
Country	:	US
Telephone Number	:	520-202-3333
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL POPOVICH
Credential	:
Telephone Number	:	520-202-3333

Provider Enumeration Date	:	09/13/2012
Last Update Date	:	09/13/2012

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