Provider Demographics
NPI:1609380922
Name:ELEVATION MEDICAL CONSULTING
Entity Type:Organization
Organization Name:ELEVATION MEDICAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:NILES
Authorized Official - Last Name:RUBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM
Authorized Official - Phone:719-930-1073
Mailing Address - Street 1:757 E. 20TH AVE SUITE 370 #831
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205
Mailing Address - Country:US
Mailing Address - Phone:720-372-6751
Mailing Address - Fax:303-362-6615
Practice Address - Street 1:2349 GLENARM PLACE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205
Practice Address - Country:US
Practice Address - Phone:720-372-6751
Practice Address - Fax:303-362-6615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty