Provider Demographics
NPI:1679830863
Name:MAGNET MEDICAL LLC
Entity Type:Organization
Organization Name:MAGNET MEDICAL LLC
Other - Org Name:MAGNET MEDICAL SUPPLY
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-780-0667
Mailing Address - Street 1:15426 S 70TH CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5133
Mailing Address - Country:US
Mailing Address - Phone:877-780-0667
Mailing Address - Fax:708-679-3998
Practice Address - Street 1:15426 S 70TH CT
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5133
Practice Address - Country:US
Practice Address - Phone:877-780-0667
Practice Address - Fax:708-679-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies