Provider Demographics
NPI:1619414992
Name:NALARI HEALTH PA MOBILE LLC
Entity Type:Organization
Organization Name:NALARI HEALTH PA MOBILE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:P
Authorized Official - Last Name:TREAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-684-1064
Mailing Address - Street 1:18 MAPLE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:RI
Mailing Address - Zip Code:02806-3560
Mailing Address - Country:US
Mailing Address - Phone:401-684-1064
Mailing Address - Fax:
Practice Address - Street 1:18 MAPLE AVE STE 103
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-3560
Practice Address - Country:US
Practice Address - Phone:401-684-1064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No341600000XTransportation ServicesAmbulanceGroup - Multi-Specialty