Provider Demographics
NPI:1164997680
Name:ON-SITE MEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ON-SITE MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:FLOYD
Authorized Official - Last Name:GUARISCO
Authorized Official - Suffix:JR
Authorized Official - Credentials:APRN, NP-C
Authorized Official - Phone:225-644-6767
Mailing Address - Street 1:37534 HIGHWAY 30 STE A
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-8098
Mailing Address - Country:US
Mailing Address - Phone:225-644-6767
Mailing Address - Fax:225-644-6769
Practice Address - Street 1:37534 HIGHWAY 30 STE A
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-8098
Practice Address - Country:US
Practice Address - Phone:225-217-4344
Practice Address - Fax:225-224-3523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational MedicineGroup - Multi-Specialty