Provider Demographics
NPI:1578341517
Name:MYDIABETICSWORLD.COM
Entity Type:Organization
Organization Name:MYDIABETICSWORLD.COM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:NARODITSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-337-3334
Mailing Address - Street 1:303 BIRCH VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18974-6101
Mailing Address - Country:US
Mailing Address - Phone:267-337-3334
Mailing Address - Fax:
Practice Address - Street 1:106 E PENNSYLVANIA BLVD
Practice Address - Street 2:
Practice Address - City:FEASTERVILLE TREVOSE
Practice Address - State:PA
Practice Address - Zip Code:19053-7843
Practice Address - Country:US
Practice Address - Phone:267-337-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEBA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies