Organization
PERFORMANCE MODALITIES INC
Active
Other names
Performance Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
LUANA MICHELE HALL (DIRECTOR OF COMPLIANCE)
(206) 569-4601
Entity
Organization
Contact information
Practice address
1133 164TH ST SW STE 101, LYNNWOOD, WA 98087-8192
(425) 743-6974
(425) 743-7569
Mailing address
19625 62ND AVE S STE A101, KENT, WA 98032-1106
(253) 852-5612
(253) 852-0427
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
601488099
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005923
—
WA
Enumeration date
12/22/2009
Last updated
07/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us