Organization
AXIS INCORPORATED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAROMI DHUPAR-SAKURAI (OWNER/PRESIDENT)
(970) 818-6190
Entity
Organization
Contact information
Practice address
1816 SEA SHELL CT, WINDSOR, CO 80550
(970) 818-6190
(970) 460-0581
Mailing address
1816 SEA SHELL CT, WINDSOR, CO 80550
(970) 818-6190
(970) 460-0581
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
293D00000X
Physiological Laboratory
—
—
363A00000X
Physician Assistant
1512
CO
Other
Enumeration date
06/27/2008
Last updated
02/19/2015
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