Provider Demographics
NPI:1134588668
Name:BILLING COMPLETE LLC
Entity type:Organization
Organization Name:BILLING COMPLETE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMEKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MABIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-636-7862
Mailing Address - Street 1:2438 N MACARTHUR BLVD APT 1510
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-5484
Mailing Address - Country:US
Mailing Address - Phone:248-636-7862
Mailing Address - Fax:
Practice Address - Street 1:110 W RANDOL MILL RD STE 214
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-4611
Practice Address - Country:US
Practice Address - Phone:248-636-7862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BILLING COMPLETE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-11
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QR0405X, 324500000X, 305R00000X, 261QP3300X, 251T00000X, 282N00000X
291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No282N00000XHospitalsGeneral Acute Care Hospital