Provider Demographics
NPI:1679054886
Name:924 HOLDINGS, INC
Entity Type:Organization
Organization Name:924 HOLDINGS, INC
Other - Org Name:OPTIMA SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-822-8216
Mailing Address - Street 1:437 S 48TH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2308
Mailing Address - Country:US
Mailing Address - Phone:480-822-8216
Mailing Address - Fax:
Practice Address - Street 1:437 S 48TH ST STE 107
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2308
Practice Address - Country:US
Practice Address - Phone:480-822-8216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-25
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies