Provider Demographics
NPI:1508434051
Name:SLD BILLING SERVICES LLC
Entity Type:Organization
Organization Name:SLD BILLING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:LOREN
Authorized Official - Last Name:DIXSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-300-7140
Mailing Address - Street 1:5815 HAMPTON HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-4193
Mailing Address - Country:US
Mailing Address - Phone:772-300-7140
Mailing Address - Fax:954-586-4024
Practice Address - Street 1:5815 HAMPTON HILLS BLVD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-4193
Practice Address - Country:US
Practice Address - Phone:772-300-7140
Practice Address - Fax:954-586-4024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service