Idalis Inc is a Neurology in Lacey, Washington. Idalis Inc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Idalis Inc is 1184640591. The last update date is 2007-12-10.
Idalis Inc's current location address is 3663 College St Se Ste A, Lacey, Washington. You can contact this provider via phone number 3604131728 and fax number 3604131669. The mailing address for Idalis Inc is 3663 College St Se Ste A, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idalis Inc |
|---|---|
| Address | 3663 College St Se Ste A, Lacey, Washington |
| Phone Number | 3604131728 |
| Fax Number | 3604131669 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Coor E Samuel |
| Credentials | DO |
| Telephone Number | 3604131728 |
NPI Number Detail
| NPI Number | 1184640591 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2007-12-10 |
Provider Mailing Address Detail
| Address | 3663 College St Se Ste A |
|---|---|
| City | Lacey |
| State | Washington (WA) |
| Post Code | 985033529 |
| Phone Number | 3604131728 |
| Fax Number | 3604131669 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 06-00027820 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Idalis Inc by the Centers for Medicare & Medicaid Services?
The Idalis Inc has been assigned the NPI (National Provider Identifier) 1184640591 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Idalis Inc is physically located?
The Idalis Inc is physically situated at the following address: 3663 College St Se Ste A, Lacey, WA, 985033529.
What is Idalis Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Idalis Inc's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 2084N0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184640591 to Idalis Inc?
The Centers for Medicare & Medicaid Services assigned the 1184640591 to Idalis Inc on 2006-07-15.
As of what date was the information pertaining to Idalis Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Idalis Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-10.
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