Provider Demographics
NPI:1568749323
Name:EXAMATRIX,INC.
Entity Type:Organization
Organization Name:EXAMATRIX,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:M
Authorized Official - Last Name:BLASER
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P,RPT
Authorized Official - Phone:330-510-8337
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:PENINSULA
Mailing Address - State:OH
Mailing Address - Zip Code:44264-0184
Mailing Address - Country:US
Mailing Address - Phone:330-510-8338
Mailing Address - Fax:234-678-7049
Practice Address - Street 1:3392 HUNTER PKWY
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-3347
Practice Address - Country:US
Practice Address - Phone:330-510-8338
Practice Address - Fax:234-678-7049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care