Provider Demographics
NPI:1346686490
Name:MEDXSYS ANCILLARY SERVICES LLC
Entity Type:Organization
Organization Name:MEDXSYS ANCILLARY SERVICES LLC
Other - Org Name:IPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-259-3991
Mailing Address - Street 1:100 GILBERT DR
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8867
Mailing Address - Country:US
Mailing Address - Phone:205-259-3991
Mailing Address - Fax:205-621-2212
Practice Address - Street 1:100 GILBERT DR
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8867
Practice Address - Country:US
Practice Address - Phone:205-259-3991
Practice Address - Fax:205-621-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-16
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty