Provider Demographics
NPI:1952707101
Name:BATS BILLING
Entity type:Organization
Organization Name:BATS BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSTOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-795-0018
Mailing Address - Street 1:4926 SW 32ND WAY
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-7942
Mailing Address - Country:US
Mailing Address - Phone:561-795-0018
Mailing Address - Fax:561-792-4142
Practice Address - Street 1:4926 SW 32ND WAY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-7942
Practice Address - Country:US
Practice Address - Phone:561-795-0018
Practice Address - Fax:561-792-4142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLL14000138552OtherLICENSE