Provider Demographics
NPI:1447713375
Name:MOTION MEDICAL CENTER LLC
Entity type:Organization
Organization Name:MOTION MEDICAL CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAHA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-392-4545
Mailing Address - Street 1:1328 US HIGHWAY 395 N STE 305
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-7368
Mailing Address - Country:US
Mailing Address - Phone:775-392-4545
Mailing Address - Fax:775-392-4547
Practice Address - Street 1:1328 US HIGHWAY 395 N STE 305
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89410-7368
Practice Address - Country:US
Practice Address - Phone:775-392-4545
Practice Address - Fax:775-392-4547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty