Provider Demographics
NPI:1578737334
Name:PSA, INC
Entity Type:Organization
Organization Name:PSA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JUDGE
Authorized Official - Suffix:
Authorized Official - Credentials:CST/CFA
Authorized Official - Phone:303-619-9625
Mailing Address - Street 1:547 S CORONA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4403
Mailing Address - Country:US
Mailing Address - Phone:303-619-9625
Mailing Address - Fax:303-722-2101
Practice Address - Street 1:547 S CORONA ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4403
Practice Address - Country:US
Practice Address - Phone:303-619-9625
Practice Address - Fax:303-722-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty