Provider Demographics
NPI:1538892641
Name:SOUND MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:SOUND MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-768-6330
Mailing Address - Street 1:3215 30TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-5101
Mailing Address - Country:US
Mailing Address - Phone:253-820-6045
Mailing Address - Fax:
Practice Address - Street 1:13507 MERIDIAN E STE J
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-9132
Practice Address - Country:US
Practice Address - Phone:877-768-6330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-06
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA604349756OtherBUSINESS LICENSE