| NPI | 1952443012 |
|---|---|
| Doing Business As | ILTSOURCE.COM |
| Entity Type | Organization |
| Authorized Contact | MICHAEL C POORE President 919-757-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |