Provider Demographics
NPI:1255084224
Name:COMPLETE INTRAVENOUS ACCESS SERVICES INC.
Entity type:Organization
Organization Name:COMPLETE INTRAVENOUS ACCESS SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:KABAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-226-2618
Mailing Address - Street 1:828 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:CREIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:15030-1102
Mailing Address - Country:US
Mailing Address - Phone:877-212-1451
Mailing Address - Fax:
Practice Address - Street 1:828 FRONT ST
Practice Address - Street 2:
Practice Address - City:CREIGHTON
Practice Address - State:PA
Practice Address - Zip Code:15030-1102
Practice Address - Country:US
Practice Address - Phone:877-212-1451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion MedicineGroup - Single Specialty