Modern Sports Medicine Llc

LBN: Modern Sports Medicine Llc
Modern Sports Medicine Llc is an health care organization with primary practice located at 1840 E Warner Rd Ste 121 , Tempe AZ 85284-3445. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Modern Sports Medicine Llc can be contacted via phone (480) 878-4806, or through Mershon, Haleigh Sheree via phone (480) 878-4806.

Contact Information

Primary practice address
1840 E Warner Rd Ste 121 Tempe AZ 85284-3445
Phone: (480) 878-4806
Fax: (480) 840-1672
Website:
Map and Directions
Authorized official contact:
Name: Mershon, Haleigh Sheree
Phone: (480) 878-4806

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1568072387
LBN Legal business name Modern Sports Medicine Llc
DBA Doing business as
Authorized official Mershon, Haleigh Sheree
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2020
Last updated Aug 6th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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