NPI | 1174934707 |
---|---|
Doing Business As | ELITE MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | RUSLAN R KNYAZ CEO 425-576-0021 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: panding) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: panding) |
Enumeration Date | 2014-05-16 |
Last Update Date | 2014-05-16 |