Provider Demographics
NPI:1235212739
Name:APEX MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:APEX MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:STONEBRAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-519-2494
Mailing Address - Street 1:1811 GOLDEN MILE HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2827
Mailing Address - Country:US
Mailing Address - Phone:724-519-2494
Mailing Address - Fax:724-519-7923
Practice Address - Street 1:1811 GOLDEN MILE HWY
Practice Address - Street 2:SUITE B
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-2827
Practice Address - Country:US
Practice Address - Phone:724-519-2494
Practice Address - Fax:724-519-7923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017924710003Medicaid
PA817616OtherHIGHMARK BLUE SHIELD
MD402643800Medicaid
PA628799OtherANTHEM BS BS
PA00800399OtherFEDERAL BLACK LUNG
PA630001566Medicare ID - Type UnspecifiedRAILROAD MEDICARE
WV630001566Medicare ID - Type UnspecifiedRAILROAD MEDICARE
PA628799OtherANTHEM BS BS
PA00800399OtherFEDERAL BLACK LUNG
WVAP3555311Medicare ID - Type UnspecifiedWEST VIRGINIA MEDICARE
MD402643800Medicaid