Provider Demographics
NPI:1033371190
Name:HEALTH SERVICES & SUPPORT SYSTEMS, INC.
Entity Type:Organization
Organization Name:HEALTH SERVICES & SUPPORT SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:BERTOLAMI
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:727-398-7282
Mailing Address - Street 1:8471 PARKWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777-2711
Mailing Address - Country:US
Mailing Address - Phone:727-398-7282
Mailing Address - Fax:727-545-1149
Practice Address - Street 1:8100 PARK BLVD STE 32A
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3777
Practice Address - Country:US
Practice Address - Phone:727-398-7282
Practice Address - Fax:727-545-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory