Provider Demographics
NPI:1023559473
Name:ROCKET CITY MEDICAL, LLC
Entity Type:Organization
Organization Name:ROCKET CITY MEDICAL, LLC
Other - Org Name:COMPRESSION & MASTECTOMY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPERDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-801-8125
Mailing Address - Street 1:109 MARSHEUTZ AVE SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4528
Mailing Address - Country:US
Mailing Address - Phone:256-801-8125
Mailing Address - Fax:844-364-3191
Practice Address - Street 1:109 MARSHEUTZ AVE SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4528
Practice Address - Country:US
Practice Address - Phone:256-801-8125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-19
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies