Provider Demographics
NPI:1033448865
Name:ONSITE MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:ONSITE MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARILON
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-942-7688
Mailing Address - Street 1:3780 OLD NORCROSS RD
Mailing Address - Street 2:SUITE 103, PMB 368
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-1740
Mailing Address - Country:US
Mailing Address - Phone:404-942-7688
Mailing Address - Fax:
Practice Address - Street 1:3780 OLD NORCROSS RD
Practice Address - Street 2:SUITE 103, PMB 368
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1740
Practice Address - Country:US
Practice Address - Phone:404-942-7688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305S00000XManaged Care OrganizationsPoint of ServiceGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory