Provider Demographics
NPI:1801658711
Name:QUADRANT MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:QUADRANT MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FOSTER
Authorized Official - Middle Name:K
Authorized Official - Last Name:DZAKAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-584-1537
Mailing Address - Street 1:114 LEONA RIVER TRL
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-2007
Mailing Address - Country:US
Mailing Address - Phone:614-584-1537
Mailing Address - Fax:
Practice Address - Street 1:114 LEONA RIVER TRL
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-2007
Practice Address - Country:US
Practice Address - Phone:614-584-1537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies