Provider Demographics
NPI:1083657605
Name:VENOUS SYSTEMS INC
Entity Type:Organization
Organization Name:VENOUS SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:JANNUZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-359-2346
Mailing Address - Street 1:2620 CONSTITUTION BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-1278
Mailing Address - Country:US
Mailing Address - Phone:724-359-2346
Mailing Address - Fax:800-861-3306
Practice Address - Street 1:5331 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-1420
Practice Address - Country:US
Practice Address - Phone:440-887-9002
Practice Address - Fax:440-887-9069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0997622Medicaid
OH0920320001Medicare NSC