Provider Demographics
NPI:1013634609
Name:ADESSO THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:ADESSO THERAPEUTICS, LLC
Other - Org Name:ADESSO THERAPEUTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:CAVALLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-682-3916
Mailing Address - Street 1:5365 MAE ANNE AVE STE B9
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1889
Mailing Address - Country:US
Mailing Address - Phone:775-313-0364
Mailing Address - Fax:775-313-0372
Practice Address - Street 1:5365 MAE ANNE AVE STE B9
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-1889
Practice Address - Country:US
Practice Address - Phone:775-313-0364
Practice Address - Fax:777-313-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies