Provider Demographics
NPI:1578184370
Name:TUSLA MEDICAL SUPPLY & LOGISTICS, LLC
Entity Type:Organization
Organization Name:TUSLA MEDICAL SUPPLY & LOGISTICS, LLC
Other - Org Name:TUSLA TRANSPORTATION & MEDICAL SUPPLY, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LASHAWN
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-933-4859
Mailing Address - Street 1:1657 S TROY ST APT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-2332
Mailing Address - Country:US
Mailing Address - Phone:312-933-4859
Mailing Address - Fax:
Practice Address - Street 1:132 E GARFIELD BLVD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4696
Practice Address - Country:US
Practice Address - Phone:312-577-1901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-03
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies