Provider Demographics
NPI:1174970172
Name:SUBLIME HEALTH SOLUTIONS LLC
Entity type:Organization
Organization Name:SUBLIME HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIESING
Authorized Official - Suffix:
Authorized Official - Credentials:MHW CATC
Authorized Official - Phone:949-300-1657
Mailing Address - Street 1:19881 BROOKHURST ST
Mailing Address - Street 2:STE C157
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-4269
Mailing Address - Country:US
Mailing Address - Phone:949-300-1657
Mailing Address - Fax:
Practice Address - Street 1:19881 BROOKHURST ST
Practice Address - Street 2:STE C157
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-4269
Practice Address - Country:US
Practice Address - Phone:949-300-1657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251X00000XAgenciesSupports Brokerage
No246QL0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory ManagementGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health