Provider Demographics
NPI:1629329016
Name:ONSITE MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:ONSITE MEDICAL SERVICES, INC.
Other - Org Name:ONSITE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILON
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN-HICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-802-0209
Mailing Address - Street 1:1408 PANDORIA CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-3737
Mailing Address - Country:US
Mailing Address - Phone:404-406-4478
Mailing Address - Fax:757-819-7103
Practice Address - Street 1:1408 PANDORIA CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-3737
Practice Address - Country:US
Practice Address - Phone:404-406-4478
Practice Address - Fax:757-819-7103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Multi-Specialty
Yes207KI0005XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyClinical & Laboratory ImmunologyGroup - Multi-Specialty