Provider Demographics
NPI:1255494944
Name:SYBERMED, LLC
Entity Type:Organization
Organization Name:SYBERMED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:SYBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-792-3763
Mailing Address - Street 1:3000 E MAIN ST STE B
Mailing Address - Street 2:#274
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209-3717
Mailing Address - Country:US
Mailing Address - Phone:888-792-3763
Mailing Address - Fax:
Practice Address - Street 1:3000 E MAIN ST STE B
Practice Address - Street 2:#274
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209-3717
Practice Address - Country:US
Practice Address - Phone:888-792-3763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies