Provider Demographics
NPI:1477975811
Name:SYNERGISTIC SCIENCES, LLC
Entity Type:Organization
Organization Name:SYNERGISTIC SCIENCES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DODIE
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:NOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-944-1247
Mailing Address - Street 1:4176 YATES ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2234
Mailing Address - Country:US
Mailing Address - Phone:303-877-8789
Mailing Address - Fax:541-488-5885
Practice Address - Street 1:2020 8TH AVE
Practice Address - Street 2:SUITE 218
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4657
Practice Address - Country:US
Practice Address - Phone:541-488-9133
Practice Address - Fax:541-488-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-18
Last Update Date:2014-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory