Provider Demographics
NPI:1952506149
Name:MUAC DIAGNOSTIC, INC.
Entity Type:Organization
Organization Name:MUAC DIAGNOSTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHAEFER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-577-8755
Mailing Address - Street 1:15610 N 35TH AVE
Mailing Address - Street 2:STE 11
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-3838
Mailing Address - Country:US
Mailing Address - Phone:480-577-8755
Mailing Address - Fax:
Practice Address - Street 1:15610 N 35TH AVE
Practice Address - Street 2:STE 11
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-3838
Practice Address - Country:US
Practice Address - Phone:480-577-8755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty