Organization Name: | CENTRAL LINE INFUSION, LTD |
NPI Number: | 1982630976 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD D IRIYE (PRESIDENT) |
Mailing Address: | 603 Quail Creek Ste 700 Amarillo |
State: | TX US |
Postal Code: | 791241651 |
Phone Number: | 8063521212 |
Fax Number: | 8063569457 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 24991 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |