Provider Demographics
NPI:1417019852
Name:COMPRESSION MANAGEMENT SERVICES, INC.
Entity Type:Organization
Organization Name:COMPRESSION MANAGEMENT SERVICES, INC.
Other - Org Name:THE LYMPHEDEMA CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-682-6335
Mailing Address - Street 1:580 S AIKEN AVE
Mailing Address - Street 2:SUITE 420
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1531
Mailing Address - Country:US
Mailing Address - Phone:412-682-6335
Mailing Address - Fax:412-682-6352
Practice Address - Street 1:1405 EISENHOWER BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3222
Practice Address - Country:US
Practice Address - Phone:814-255-5800
Practice Address - Fax:814-255-5802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000006223332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
251080OtherCOVENTRY
208238OtherUPMC
PA0019049430002Medicaid
292937OtherHIGHMARK
PA4481590003Medicare NSC