Provider Demographics
NPI:1295445955
Name:PROFESSIONAL REVENUE MANAGEMENT LLC
Entity type:Organization
Organization Name:PROFESSIONAL REVENUE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEJA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTHCARE ADMIN
Authorized Official - Phone:314-449-9420
Mailing Address - Street 1:PO BOX 300141
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63130-0441
Mailing Address - Country:US
Mailing Address - Phone:314-449-9420
Mailing Address - Fax:314-584-7035
Practice Address - Street 1:4913 DEVONSHIRE AVE APT 2E
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-2402
Practice Address - Country:US
Practice Address - Phone:314-449-9420
Practice Address - Fax:314-584-7035
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AUTOMATING REVENUE CYCLES SAAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization