Organization Name: | PERFORMANCE MODALITIES INC |
NPI Number: | 1316276272 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET MARIE WALLACE (VP OF OPERATIONS & COMPLIANCE) |
Mailing Address: | 1133 164th St Sw Ste 101 Lynnwood |
State: | WA US |
Postal Code: | 980878192 |
Phone Number: | 4257436974 |
Fax Number: | 4257437569 |
NPI Enumeration Date: | 12/23/2009 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 601488099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |