Provider Demographics
NPI:1356344006
Name:ONE SOURCE MEDICAL BILLING SERVICE, INC
Entity type:Organization
Organization Name:ONE SOURCE MEDICAL BILLING SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MEDICAL BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-796-9310
Mailing Address - Street 1:PO BOX 12117
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34603-2117
Mailing Address - Country:US
Mailing Address - Phone:352-796-9310
Mailing Address - Fax:352-796-6847
Practice Address - Street 1:11420 KANSAS RD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34614-3470
Practice Address - Country:US
Practice Address - Phone:352-796-9310
Practice Address - Fax:352-796-6847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office BasedGroup - Single Specialty