Provider Demographics
NPI:1902569981
Name:PRISM MEDICAL PRODUCTS, L.L.C.
Entity Type:Organization
Organization Name:PRISM MEDICAL PRODUCTS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-215-6405
Mailing Address - Street 1:PO BOX 476
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-0476
Mailing Address - Country:US
Mailing Address - Phone:336-258-4315
Mailing Address - Fax:888-589-8879
Practice Address - Street 1:6345 S PECOS RD STE 203-205
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-6222
Practice Address - Country:US
Practice Address - Phone:888-244-6421
Practice Address - Fax:800-975-6321
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRISM MEDICAL PRODUCTS, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies