Provider Demographics
NPI:1578271573
Name:MEDICAL EVALUATION SPECIALISTS, LLC
Entity Type:Organization
Organization Name:MEDICAL EVALUATION SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP, COMPLIANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARVOTTA-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ, RN
Authorized Official - Phone:339-987-9106
Mailing Address - Street 1:505 S 336TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5946
Mailing Address - Country:US
Mailing Address - Phone:253-733-5215
Mailing Address - Fax:
Practice Address - Street 1:505 S 336TH ST STE 150
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5946
Practice Address - Country:US
Practice Address - Phone:253-733-5615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center