Provider Demographics
NPI:1922452903
Name:JAMES ARIEL FELSINGER
Entity Type:Organization
Organization Name:JAMES ARIEL FELSINGER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FELSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:619-488-4034
Mailing Address - Street 1:10 LARISSA AVE
Mailing Address - Street 2:
Mailing Address - City:TULLAMARINE
Mailing Address - State:VICTORIA
Mailing Address - Zip Code:3043
Mailing Address - Country:AU
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 LARISSA AVE
Practice Address - Street 2:
Practice Address - City:TULLAMARINE
Practice Address - State:VICTORIA
Practice Address - Zip Code:3043
Practice Address - Country:AU
Practice Address - Phone:619-488-4034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-16
Last Update Date:2016-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory