Provider Demographics
NPI:1972982338
Name:INDUSTRIAL ON-SITE NETWORK, LLC
Entity Type:Organization
Organization Name:INDUSTRIAL ON-SITE NETWORK, LLC
Other - Org Name:GSC-ARISCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-855-8866
Mailing Address - Street 1:4902 S VAL VISTA DR
Mailing Address - Street 2:SUITE B102
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-7325
Mailing Address - Country:US
Mailing Address - Phone:480-855-8866
Mailing Address - Fax:480-855-8867
Practice Address - Street 1:4902 S VAL VISTA DR
Practice Address - Street 2:SUITE B102
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-7325
Practice Address - Country:US
Practice Address - Phone:480-855-8866
Practice Address - Fax:480-855-8867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty