Provider Demographics
NPI:1619511599
Name:XCEED MEDICAL, LLC
Entity Type:Organization
Organization Name:XCEED MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:PEKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-235-8558
Mailing Address - Street 1:2363 S 102ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2143
Mailing Address - Country:US
Mailing Address - Phone:414-235-8552
Mailing Address - Fax:414-258-2855
Practice Address - Street 1:5307 S 92ND ST STE 125
Practice Address - Street 2:
Practice Address - City:HALES CORNERS
Practice Address - State:WI
Practice Address - Zip Code:53130-1677
Practice Address - Country:US
Practice Address - Phone:262-957-4701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment