Provider Demographics
NPI:1154472801
Name:MORVANTS SURGICAL GARMENTS
Entity Type:Organization
Organization Name:MORVANTS SURGICAL GARMENTS
Other - Org Name:ULTIMATE MEDICAL EQUIPMENT COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-466-2006
Mailing Address - Street 1:3924 BARRON ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5734
Mailing Address - Country:US
Mailing Address - Phone:504-466-2006
Mailing Address - Fax:504-466-2227
Practice Address - Street 1:3924 BARRON ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5734
Practice Address - Country:US
Practice Address - Phone:504-466-2006
Practice Address - Fax:504-466-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA260010811332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1133281Medicaid
LA0281510002Medicare NSC