Provider Demographics
NPI:1578923587
Name:ULTRAFLEX SYSTEMS, INC.
Entity Type:Organization
Organization Name:ULTRAFLEX SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHARDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-901-1410
Mailing Address - Street 1:1224 MILL ST
Mailing Address - Street 2:BLDG B
Mailing Address - City:EAST BERLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06023-1159
Mailing Address - Country:US
Mailing Address - Phone:609-459-1618
Mailing Address - Fax:610-901-1416
Practice Address - Street 1:1224 MILL ST
Practice Address - Street 2:BLDG B
Practice Address - City:EAST BERLIN
Practice Address - State:CT
Practice Address - Zip Code:06023-1159
Practice Address - Country:US
Practice Address - Phone:609-459-1618
Practice Address - Fax:610-901-1416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004581OtherBUSINESS REGISTRY