Provider Demographics
NPI:1033500053
Name:KTL&C LLC
Entity Type:Organization
Organization Name:KTL&C LLC
Other - Org Name:RXPOSITIVE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHOLLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:928-344-9301
Mailing Address - Street 1:1845 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6929
Mailing Address - Country:US
Mailing Address - Phone:928-344-9301
Mailing Address - Fax:928-726-6168
Practice Address - Street 1:1276 N MAIN ST
Practice Address - Street 2:SUITE F
Practice Address - City:SAN LUIS
Practice Address - State:AZ
Practice Address - Zip Code:85349
Practice Address - Country:US
Practice Address - Phone:928-344-9301
Practice Address - Fax:928-726-6168
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KTL&C LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies