Provider Demographics
NPI:1013792621
Name:SCRIPTCHAIN LLC
Entity Type:Organization
Organization Name:SCRIPTCHAIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOH
Authorized Official - Middle Name:
Authorized Official - Last Name:NOORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-206-2904
Mailing Address - Street 1:5000 STAR MINE WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8049
Mailing Address - Country:US
Mailing Address - Phone:925-206-2904
Mailing Address - Fax:
Practice Address - Street 1:5000 STAR MINE WAY
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-8049
Practice Address - Country:US
Practice Address - Phone:925-206-2904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service