Provider Demographics
NPI:1083663645
Name:ARCUS MEDICAL, LLC
Entity Type:Organization
Organization Name:ARCUS MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MISKIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-332-3424
Mailing Address - Street 1:2327 DISTRIBUTION ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5023
Mailing Address - Country:US
Mailing Address - Phone:704-332-3424
Mailing Address - Fax:704-332-3425
Practice Address - Street 1:2327 DISTRIBUTION ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5023
Practice Address - Country:US
Practice Address - Phone:704-332-3424
Practice Address - Fax:704-332-3425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5736050001Medicare NSC