Organization Name: | PERFORMANCE MODALITIES INC. |
NPI Number: | 1043276819 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALLEN LEE CLARK (PRESIDENT CEO) |
Mailing Address: | 19625 62nd Ave S Suite A 101 Kent |
State: | WA US |
Postal Code: | 980321103 |
Phone Number: | 2538525612 |
Fax Number: | 2538520427 |
NPI Enumeration Date: | 04/21/2006 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |