Provider Demographics
NPI:1053566497
Name:PEARMED, LLC
Entity type:Organization
Organization Name:PEARMED, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:LARA
Authorized Official - Middle Name:MORSE
Authorized Official - Last Name:PROFFIT
Authorized Official - Suffix:
Authorized Official - Credentials:MM, HRM
Authorized Official - Phone:480-304-5600
Mailing Address - Street 1:17734 W STATLER DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-1764
Mailing Address - Country:US
Mailing Address - Phone:480-304-5600
Mailing Address - Fax:
Practice Address - Street 1:17734 W STATLER DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-1764
Practice Address - Country:US
Practice Address - Phone:480-304-5600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEARMED, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies