Provider Demographics
NPI:1073887394
Name:ABOUT DISH SATELLITE
Entity Type:Organization
Organization Name:ABOUT DISH SATELLITE
Other - Org Name:LOCKDOWN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-482-3875
Mailing Address - Street 1:1300 E 9TH ST
Mailing Address - Street 2:SUITE 1110
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-1501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1300 E 9TH ST
Practice Address - Street 2:SUITE 1110
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-1501
Practice Address - Country:US
Practice Address - Phone:216-482-3875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No347C00000XTransportation ServicesPrivate Vehicle