Provider Demographics
NPI:1154636199
Name:ALPHA OMEGA PHYSICIANS BILLING
Entity Type:Organization
Organization Name:ALPHA OMEGA PHYSICIANS BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZONEKE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMINO-THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-383-4001
Mailing Address - Street 1:5186 LONGMEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-4316
Mailing Address - Country:US
Mailing Address - Phone:901-383-4001
Mailing Address - Fax:901-383-7821
Practice Address - Street 1:5186 LONGMEADOW DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-4316
Practice Address - Country:US
Practice Address - Phone:901-383-4001
Practice Address - Fax:901-383-7821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-14
Last Update Date:2010-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies