Provider Demographics
NPI:1033411616
Name:MTB PRODUCTS, LLC
Entity Type:Organization
Organization Name:MTB PRODUCTS, LLC
Other - Org Name:SLEEP COMFORT ADJUSTABLE BEDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HOSEPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-487-9040
Mailing Address - Street 1:15950 BERNARDO CENTER DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127
Mailing Address - Country:US
Mailing Address - Phone:858-487-9040
Mailing Address - Fax:858-487-8387
Practice Address - Street 1:15950 BERNARDO CENTER DRIVE
Practice Address - Street 2:SUITE C
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127
Practice Address - Country:US
Practice Address - Phone:858-487-9040
Practice Address - Fax:858-487-8387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB1999005782332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies