Provider Demographics
NPI:1619204161
Name:MAX MEDICAL LLC
Entity Type:Organization
Organization Name:MAX MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIOMEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-664-6634
Mailing Address - Street 1:3014 N HAYDEN RD
Mailing Address - Street 2:SUITE 119
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-6686
Mailing Address - Country:US
Mailing Address - Phone:480-664-6634
Mailing Address - Fax:480-664-6601
Practice Address - Street 1:3014 N HAYDEN RD
Practice Address - Street 2:SUITE 119
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6686
Practice Address - Country:US
Practice Address - Phone:480-664-6634
Practice Address - Fax:480-664-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20323913332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies