Provider Demographics
NPI:1700196789
Name:MEDICAL OUTSOURCING SOLUTIONS, INC.
Entity Type:Organization
Organization Name:MEDICAL OUTSOURCING SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:A
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-895-4381
Mailing Address - Street 1:2060 ABERDEEN CT STE D
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178-3140
Mailing Address - Country:US
Mailing Address - Phone:815-895-4381
Mailing Address - Fax:
Practice Address - Street 1:2060 ABERDEEN CT STE D
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-3140
Practice Address - Country:US
Practice Address - Phone:815-895-4381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile