Provider Demographics
NPI:1891012308
Name:ON 24 MEDICAL BILLING, INC.
Entity Type:Organization
Organization Name:ON 24 MEDICAL BILLING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:RASHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:ACHINIVU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-696-6339
Mailing Address - Street 1:24654 N LAKE PLEASANT PKWY
Mailing Address - Street 2:#103-157
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1359
Mailing Address - Country:US
Mailing Address - Phone:888-696-6339
Mailing Address - Fax:800-521-9409
Practice Address - Street 1:24654 N LAKE PLEASANT PKWY
Practice Address - Street 2:#103-157
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1359
Practice Address - Country:US
Practice Address - Phone:888-696-6339
Practice Address - Fax:800-521-9409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2011-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4196130251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ4196130OtherDME HS