Provider Demographics
NPI:1003227687
Name:M&RS LLC
Entity Type:Organization
Organization Name:M&RS LLC
Other - Org Name:LIFESOURCE THERAPEUTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-379-7592
Mailing Address - Street 1:7679 E PINNACLE PEAK RD
Mailing Address - Street 2:SUITE100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6299
Mailing Address - Country:US
Mailing Address - Phone:480-264-4599
Mailing Address - Fax:480-269-9201
Practice Address - Street 1:7679 E PINNACLE PEAK RD
Practice Address - Street 2:SUITE100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6299
Practice Address - Country:US
Practice Address - Phone:480-264-4599
Practice Address - Fax:480-269-9201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-16
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty