Provider Demographics
NPI:1295217263
Name:SOUNDVIEW MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:SOUNDVIEW MEDICAL SUPPLY, LLC
Other - Org Name:SOUNDVIEW MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-286-7665
Mailing Address - Street 1:PO BOX 859
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-0859
Mailing Address - Country:US
Mailing Address - Phone:206-286-3100
Mailing Address - Fax:206-286-7667
Practice Address - Street 1:809 9TH ST STE 4
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-1138
Practice Address - Country:US
Practice Address - Phone:800-845-4925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUNDVIEW MEDICAL SUPPLY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-05
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies