Organization Name: | LYMPHEDEMA PLACE, LLC |
NPI Number: | 1821322009 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICOLAS A RODRIGUEZ (PRESIDENT) |
Mailing Address: | 689 N Hermitage Rd Ste 4 Hermitage |
State: | PA US |
Postal Code: | 161483203 |
Phone Number: | 7249315555 |
Fax Number: | 8667928501 |
NPI Enumeration Date: | 09/22/2009 |
NPI Last Update Date: | 01/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 6000007482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |