Provider Demographics
NPI:1376648881
Name:AMERICAN SCREENING ASSOCIATION, INC.
Entity Type:Organization
Organization Name:AMERICAN SCREENING ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CALLIRGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-224-3028
Mailing Address - Street 1:228 CREEK VIEW LN
Mailing Address - Street 2:
Mailing Address - City:COLONIAL BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:22443-6015
Mailing Address - Country:US
Mailing Address - Phone:804-224-3028
Mailing Address - Fax:804-224-0778
Practice Address - Street 1:228 CREEK VIEW LN
Practice Address - Street 2:
Practice Address - City:COLONIAL BEACH
Practice Address - State:VA
Practice Address - Zip Code:22443-6015
Practice Address - Country:US
Practice Address - Phone:804-224-3028
Practice Address - Fax:804-224-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare