Provider Demographics
NPI:1578923983
Name:ULTRAFLEX SYSTEMS, INC.
Entity Type:Organization
Organization Name:ULTRAFLEX SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-819-6019
Mailing Address - Street 1:237 SOUTH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5984
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 GOLF RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-4263
Practice Address - Country:US
Practice Address - Phone:219-413-0568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ULTRAFLEX SYSTEMS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-26
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000004052335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier