DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MOUNTAINSIDE FITNESS ACQUISITIONS, LLC

MEDICARE: MOUNTAINSIDE FITNESS ACQUISITIONS, LLC
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
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number : 1578152005
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAINSIDE FITNESS ACQUISITIONS, LLC
Provider Business Mailing Address
First Line : 7135 E CAMELBACK RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-1262
Country : US
Telephone Number : 480-706-8963
Fax Number :
Provider Business Practice Location Address
First Line : 4355 E IRMA LN
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4312
Country : US
Telephone Number : 623-266-3111
Fax Number :
Authorized Official
Title or Position : CREDENTIALIST
Name : EILEEN AHERN
Credential :
Telephone Number : 800-954-1800
Provider Enumeration Date : 01/11/2021
Last Update Date : 01/11/2021

Similar Medicare Providers

1053384834 — ANDREW WEINBERG DO
Practice Location Address:
4375 E IRMA LN
PHOENIX, AZ
85050-4312
Practice Phone: 480-890-5800
Practice Fax: 480-890-5920
1467440040 — DR. JENNIFER ANN FEMIANO M.D.
Practice Location Address:
4375 E IRMA LN
PHOENIX, AZ
85050-4312
Practice Phone: 480-890-5800
Practice Fax:
1083684864 — MARK MORALES MD
Practice Location Address:
4375 E IRMA LN
PHOENIX, AZ
85050-4312
Practice Phone: 480-890-5800
Practice Fax: 480-890-5920
1255309399 — NOLAWI M MENGESHA M.D.
Practice Location Address:
4375 E IRMA LN
PHOENIX, AZ
85050-4312
Practice Phone: 480-890-5800
Practice Fax: 480-890-5920
1013189166 — DR. ANDREA ELIZABETH GOLDBERG MD
Practice Location Address:
4375 E IRMA LN
PHOENIX, AZ
85050-4312
Practice Phone: 480-890-5800
Practice Fax: 480-890-5920
1700111861 — JENNIFER PENG
Practice Location Address:
4375 E IRMA LN
PHOENIX, AZ
85050-4312
Practice Phone: 480-890-5800
Practice Fax:
1245534726 — MARY ELLEN RADOSEVICH FNP-C
Practice Location Address:
4375 E IRMA LN
PHOENIX, AZ
85050-4312
Practice Phone: 480-890-5800
Practice Fax:

Directions to “MOUNTAINSIDE FITNESS ACQUISITIONS, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.