Ashlar Medical, LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

ASHLAR MEDICAL, LLC

Practice address

1908 Greenwood Dr Ste B
Poplar Bluff, MO 63901-2430

Phone

(573) 785-8766

Fax

(573) 785-8769

NPI assigned

Jul 22, 2006

Last updated

Apr 8, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ASHLAR MEDICAL, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Cynthia Marie Linville

Title

Chief Executive Officer

Phone

(573) 785-8766

Specialties & licenses 1

Addresses

Tax ID family

Ashlar Professional2 organizations share this tax ID, including this one

Part of

Ashlar Medical LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ashlar Professional

  • Clinic/Center
  • Poplar Bluff, MO
  • NPI 1497938658
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1306867429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 UNIVERSITY PKWY",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "71457",
            "telephone_number": "318-352-8075",
            "fax_number": "318-357-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 GREENWOOD DR STE B",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012430",
            "telephone_number": "573-785-8766",
            "fax_number": "573-785-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAR MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHLAR MEDICAL, LLC",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "LINVILLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "573-785-8766",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Armstrong
• Crystal Armstrong
• Joseph Lee Arnold
• Scott Legrand Arnold, DPT
• Ashlar Holdings LLC
• Ashlar Professional
• Aspire Senior Living Poplar Bluff, LLC (Aspire Senior Living Poplar Bluff)
• Courtney Mikel Atkinson, DMD
• Alissa Salvora Austin
• Amelia Salvora Austin

• Other Technician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Other Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.