Provider Demographics
NPI:1275813701
Name:TRI CORPORATION
Entity Type:Organization
Organization Name:TRI CORPORATION
Other - Org Name:PACIFIC SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:671-688-4421
Mailing Address - Street 1:PO BOX 9663
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931-5663
Mailing Address - Country:US
Mailing Address - Phone:671-688-4421
Mailing Address - Fax:671-647-1606
Practice Address - Street 1:KIM'S BLDG SUITE 6 GUALO RAI
Practice Address - Street 2:MIDDLE ROAD
Practice Address - City:SAIPAN
Practice Address - State:GU
Practice Address - Zip Code:96931
Practice Address - Country:US
Practice Address - Phone:670-323-7720
Practice Address - Fax:670-323-8741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MP53527Medicare PIN