Provider Demographics
NPI:1295190205
Name:LONGVIEW LITHOTRIPSY LLC
Entity Type:Organization
Organization Name:LONGVIEW LITHOTRIPSY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-944-1577
Mailing Address - Street 1:203 PERRY PKWY
Mailing Address - Street 2:STE 6
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2169
Mailing Address - Country:US
Mailing Address - Phone:301-944-1575
Mailing Address - Fax:
Practice Address - Street 1:203 PERRY PKWY
Practice Address - Street 2:STE 6
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2169
Practice Address - Country:US
Practice Address - Phone:301-944-1575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies