Organization Name: | ADVANCED INFUSION SYSTEMS, INC. |
NPI Number: | 1003819194 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS A. CANERIS (VICE PRESIDENT) |
Mailing Address: | 145 E Dana St Suite A Mountain View |
State: | CA US |
Postal Code: | 940411507 |
Phone Number: | 6509616355 |
Fax Number: | 6509695653 |
NPI Enumeration Date: | 05/23/2005 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | PHY 48702 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |