Provider Demographics
NPI:1114143302
Name:ORTHASSIST
Entity Type:Organization
Organization Name:ORTHASSIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAHALIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-529-8002
Mailing Address - Street 1:PO BOX 13022
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85732-3022
Mailing Address - Country:US
Mailing Address - Phone:520-529-8002
Mailing Address - Fax:520-577-3260
Practice Address - Street 1:2929 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2801
Practice Address - Country:US
Practice Address - Phone:520-529-8002
Practice Address - Fax:520-577-3260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies