Provider Demographics
NPI:1518102706
Name:ECLAT, INC
Entity Type:Organization
Organization Name:ECLAT, INC
Other - Org Name:FITNESS UNLIMITED, BUSY BODY, & WINSTON FITNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/FITNESS CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:TOPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-582-4156
Mailing Address - Street 1:PO BOX 1495
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77580-1495
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5911 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7603
Practice Address - Country:US
Practice Address - Phone:713-582-4156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies