Provider Demographics
NPI:1639128796
Name:COMPRESSION MANAGEMENT SERVICES INC
Entity Type:Organization
Organization Name:COMPRESSION MANAGEMENT SERVICES INC
Other - Org Name:LYMPHEDEMA CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-682-6335
Mailing Address - Street 1:580 S AIKEN AVE
Mailing Address - Street 2:STE 420
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1531
Mailing Address - Country:US
Mailing Address - Phone:412-682-6335
Mailing Address - Fax:412-682-6352
Practice Address - Street 1:580 S AIKEN AVE
Practice Address - Street 2:STE 420
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1531
Practice Address - Country:US
Practice Address - Phone:412-682-6335
Practice Address - Fax:412-682-6352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000005937332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019049430002Medicaid
292937OtherHIGHMARK BCBS
PA251080OtherHEALTH AMERICA
PA251080OtherHEALTH AMERICA