Provider Demographics
NPI:1629845722
Name:AMERICAN MEDICAL OPTIONS LLC
Entity Type:Organization
Organization Name:AMERICAN MEDICAL OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-348-0121
Mailing Address - Street 1:6504 ELMWOOD AVE # 100
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19142-2817
Mailing Address - Country:US
Mailing Address - Phone:610-348-0121
Mailing Address - Fax:
Practice Address - Street 1:6504 ELMWOOD AVE # 100
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19142-2817
Practice Address - Country:US
Practice Address - Phone:610-348-0121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies