Organization Name: | SPECTRUM PRODUCTS AND TECHNOLOGY |
NPI Number: | 1013926054 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OCTAVIA T JACKSON (MANAGER) |
Mailing Address: | 7525 Highway 71 S Alexandria |
State: | LA US |
Postal Code: | 713029116 |
Phone Number: | 3187678816 |
Fax Number: | 3184734279 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 04/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |