Provider Demographics
NPI:1093183824
Name:CRANIAL TECHNOLOGIES INC
Entity Type:Organization
Organization Name:CRANIAL TECHNOLOGIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATIONAL FACILITY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-362-2263
Mailing Address - Street 1:1405 W AUTO DR FL 2
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-1016
Mailing Address - Country:US
Mailing Address - Phone:866-362-2263
Mailing Address - Fax:480-705-0960
Practice Address - Street 1:2902 N ORANGE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4605
Practice Address - Country:US
Practice Address - Phone:866-362-2263
Practice Address - Fax:844-595-5183
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CRANIAL TECHNOLOGIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-10
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment