Provider Demographics
NPI:1811669047
Name:APEX PRODIGY SOLUTIONS LLC
Entity type:Organization
Organization Name:APEX PRODIGY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:I
Authorized Official - Last Name:ASHFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-864-8055
Mailing Address - Street 1:7230 MEDICAL CENTER DR STE 304
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-4011
Mailing Address - Country:US
Mailing Address - Phone:818-639-8808
Mailing Address - Fax:818-639-8788
Practice Address - Street 1:7230 MEDICAL CENTER DR STE 304
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4011
Practice Address - Country:US
Practice Address - Phone:818-639-8808
Practice Address - Fax:818-639-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory