Provider Demographics
NPI:1033276712
Name:MRS-MEDICAL RESOURCES & SOLUTIONS LLC
Entity Type:Organization
Organization Name:MRS-MEDICAL RESOURCES & SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:G
Authorized Official - Last Name:SEIDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-989-0823
Mailing Address - Street 1:3214 ELECTRIC RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-6451
Mailing Address - Country:US
Mailing Address - Phone:540-989-0823
Mailing Address - Fax:540-774-8554
Practice Address - Street 1:3214 ELECTRIC RD
Practice Address - Street 2:SUITE 304
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-6451
Practice Address - Country:US
Practice Address - Phone:540-989-0823
Practice Address - Fax:540-774-8554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0020518375332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5362130001Medicare NSC