Provider Demographics
NPI:1679849434
Name:PACIFIC EDGE LTD
Entity Type:Organization
Organization Name:PACIFIC EDGE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DARLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:643-479-5800
Mailing Address - Street 1:87 ST DAVID STREET
Mailing Address - Street 2:PO BOX 56
Mailing Address - City:DUNEDIN
Mailing Address - State:OTAGO
Mailing Address - Zip Code:9016
Mailing Address - Country:NZ
Mailing Address - Phone:643-479-5800
Mailing Address - Fax:
Practice Address - Street 1:87 ST DAVID STREET
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:OTAGO
Practice Address - Zip Code:9016
Practice Address - Country:NZ
Practice Address - Phone:643-479-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory