Provider Demographics
NPI:1710484787
Name:ANGULARIS LLC
Entity Type:Organization
Organization Name:ANGULARIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERICH
Authorized Official - Middle Name:ATHERTON
Authorized Official - Last Name:DEINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-728-0533
Mailing Address - Street 1:15815 S LAKEWOOD PKWY W APT 1099
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7290
Mailing Address - Country:US
Mailing Address - Phone:808-728-0533
Mailing Address - Fax:
Practice Address - Street 1:5300 E ERICKSON DR STE 104
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2809
Practice Address - Country:US
Practice Address - Phone:520-488-4791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty