Provider Demographics
NPI:1629611710
Name:SRS WEB SOLUTIONS
Entity Type:Organization
Organization Name:SRS WEB SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-217-4838
Mailing Address - Street 1:6160 SUMMIT DR N STE 320
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2181
Mailing Address - Country:US
Mailing Address - Phone:612-217-4838
Mailing Address - Fax:
Practice Address - Street 1:6160 SUMMIT DR N STE 320
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2181
Practice Address - Country:US
Practice Address - Phone:612-217-4838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health