Provider Demographics
NPI:1467428748
Name:MACHAON MEDICAL EVALUATIONS INC
Entity Type:Organization
Organization Name:MACHAON MEDICAL EVALUATIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:MORIARTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-323-1999
Mailing Address - Street 1:801 BROADWAY
Mailing Address - Street 2:SUITE 922
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122
Mailing Address - Country:US
Mailing Address - Phone:206-323-1999
Mailing Address - Fax:206-323-1188
Practice Address - Street 1:801 BROADWAY
Practice Address - Street 2:SUITE 922
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122
Practice Address - Country:US
Practice Address - Phone:206-323-1999
Practice Address - Fax:206-323-1188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA120420OtherDEPT OF LABOR & IND
WA117910OtherDEPT OF LABOR & IND