Provider Demographics
NPI:1306231170
Name:OBJECTIVE MEDICAL ASSESSMENTS CORP
Entity Type:Organization
Organization Name:OBJECTIVE MEDICAL ASSESSMENTS CORP
Other - Org Name:OMAC
Other - Org Type:Other Name
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-774-9221
Mailing Address - Street 1:401 2ND AVE S
Mailing Address - Street 2:#110
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3858
Mailing Address - Country:US
Mailing Address - Phone:206-324-6622
Mailing Address - Fax:206-726-8605
Practice Address - Street 1:401 2ND AVE S
Practice Address - Street 2:#110
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3858
Practice Address - Country:US
Practice Address - Phone:206-324-6622
Practice Address - Fax:206-726-8605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty