Robert O Modarelli Md Ps
LBN: Northwest Urology Center Ps
Robert O Modarelli Md Ps is an health care organization with primary practice located at 1624 S I St Ste 204, Tacoma WA 98405-5016. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Northwest Urology Center Ps can be contacted via phone (253) 272-8441, or through Modarelli, Alia D via phone (253) 272-8441.
Contact Information
Primary practice address
1624 S I St Ste 204
Tacoma WA 98405-5016
Phone: (253) 272-8441
Fax: (253) 272-8096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Washington |
Profile Details
| NPI number | 1790846509 |
|---|---|
| LBN Legal business name | Northwest Urology Center Ps |
| DBA Doing business as | Robert O Modarelli Md Ps |
| Authorized official | Modarelli, Alia D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jul 31st, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790846509 | NPPES |
| Washington | MEDICAID | 7077449 |
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