Provider Demographics
NPI:1649855396
Name:BYSUN MEDICAL LLC
Entity type:Organization
Organization Name:BYSUN MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:DONELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-710-7285
Mailing Address - Street 1:290 BILMAR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-4601
Mailing Address - Country:US
Mailing Address - Phone:412-710-7285
Mailing Address - Fax:412-710-7284
Practice Address - Street 1:327 NORTHGATE DR
Practice Address - Street 2:
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-7572
Practice Address - Country:US
Practice Address - Phone:412-710-7285
Practice Address - Fax:412-710-7284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies