Provider Demographics
NPI:1376089052
Name:GPS MEDICAL, LLC
Entity Type:Organization
Organization Name:GPS MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CERTIFIED PHLEBOTOMIST
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERANZA
Authorized Official - Suffix:
Authorized Official - Credentials:CPT
Authorized Official - Phone:732-995-6912
Mailing Address - Street 1:1 WARWICK DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3610
Mailing Address - Country:US
Mailing Address - Phone:732-995-6912
Mailing Address - Fax:732-358-0605
Practice Address - Street 1:1 WARWICK DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3610
Practice Address - Country:US
Practice Address - Phone:732-995-6912
Practice Address - Fax:732-358-0605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health