Provider Demographics
NPI:1063667392
Name:STAT RESPONSE INC
Entity Type:Organization
Organization Name:STAT RESPONSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN SMITH
Authorized Official - Middle Name:
Authorized Official - Last Name:EMBRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-946-2349
Mailing Address - Street 1:745 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4051
Mailing Address - Country:US
Mailing Address - Phone:215-737-5925
Mailing Address - Fax:
Practice Address - Street 1:735 KENTWOOD ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19116-3654
Practice Address - Country:US
Practice Address - Phone:215-735-4976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service