Provider Demographics
NPI:1124393350
Name:MATRIX MEDICAL SUPPLIES COMPANY INC.
Entity Type:Organization
Organization Name:MATRIX MEDICAL SUPPLIES COMPANY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERITA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-535-8800
Mailing Address - Street 1:93 OLD YORK RD
Mailing Address - Street 2:SUITE 1-446
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-3925
Mailing Address - Country:US
Mailing Address - Phone:215-535-8800
Mailing Address - Fax:215-933-5278
Practice Address - Street 1:5425 OXFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-1125
Practice Address - Country:US
Practice Address - Phone:215-535-8800
Practice Address - Fax:215-535-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies