Idalis Inc
Idalis Inc provides Neurology Physician services in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3663 College St SE Ste ALacey, WA 98503-3529 Not confirmed with CMS for 18 years — call before visiting
Phone: (360) 413-1728
Fax: (360) 413-1669
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence 06-00027820 (WA) |
|---|
Record details
| NPI number | 1184640591 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Coor — Owner · (360) 413-1728 |
| NPI enumerated | July 15, 2006 |
| Last updated in NPPES | December 10, 2007 |
| Mailing address | 3663 College St Se Ste A, Lacey, WA 98503-3529 |