| Tasc Llc | |
|
1112 6th Ave Suite 100 Tacoma WA 98405-4040 | |
| (253) 272-3916 | |
| (253) 627-1713 |
| Full Name | Tasc Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1112 6th Ave, Tacoma, Washington |
| Authorized Official Name and Position | Elizabeth A Down (ADMINISTRATOR) |
| Authorized Official Contact | 2532723916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasc Llc 1112 6th Ave Suite 100 Tacoma WA 98405-4040 Ph: (253) 272-3916 | Tasc Llc 1112 6th Ave Suite 100 Tacoma WA 98405-4040 Ph: (253) 272-3916 |
| NPI Number | 1174512503 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174512503 | NPI | - | NPPES |
| 7067713 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | FX00055924 (Washington) | Primary |
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