Provider Demographics
NPI:1154462356
Name:LINDROTH INTERNATIONAL INC
Entity Type:Organization
Organization Name:LINDROTH INTERNATIONAL INC
Other - Org Name:GOLDEN DIABETIC SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDROTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-389-1108
Mailing Address - Street 1:308 W MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2617
Mailing Address - Country:US
Mailing Address - Phone:877-389-1108
Mailing Address - Fax:
Practice Address - Street 1:308 W MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2617
Practice Address - Country:US
Practice Address - Phone:877-389-1108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4696630001Medicare ID - Type Unspecified