Provider Demographics
NPI:1891445391
Name:GOOLOO
Entity Type:Organization
Organization Name:GOOLOO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCILROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-430-8647
Mailing Address - Street 1:7354 E BAKER DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85266-1891
Mailing Address - Country:US
Mailing Address - Phone:602-430-8647
Mailing Address - Fax:602-419-2044
Practice Address - Street 1:7354 E BAKER DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85266-1891
Practice Address - Country:US
Practice Address - Phone:602-430-8647
Practice Address - Fax:602-419-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-27
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier