Provider Demographics
NPI:1518729185
Name:TP SPLASH GUARD
Entity Type:Organization
Organization Name:TP SPLASH GUARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:KATSADAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-406-6521
Mailing Address - Street 1:103 CLEARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-3601
Mailing Address - Country:US
Mailing Address - Phone:330-406-6521
Mailing Address - Fax:724-241-3727
Practice Address - Street 1:103 CLEARVIEW DR
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-3601
Practice Address - Country:US
Practice Address - Phone:330-406-6521
Practice Address - Fax:724-241-3727
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TYM CORP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment