Provider Demographics
NPI:1639758741
Name:ONSITE SCREENINGS LLC
Entity Type:Organization
Organization Name:ONSITE SCREENINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THUTRUNG ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-544-9177
Mailing Address - Street 1:4730 N HABANA AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-7187
Mailing Address - Country:US
Mailing Address - Phone:800-544-9177
Mailing Address - Fax:
Practice Address - Street 1:4730 N HABANA AVE STE 305
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-7187
Practice Address - Country:US
Practice Address - Phone:800-544-9177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service