Provider Demographics
NPI:1790160638
Name:TRIMEDICAL LLC
Entity Type:Organization
Organization Name:TRIMEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR OF ACCOUNTS
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-733-4533
Mailing Address - Street 1:3695 CASCADE RD SW
Mailing Address - Street 2:2210
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2173
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4670 HAMDEN FOREST DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-7330
Practice Address - Country:US
Practice Address - Phone:678-733-4533
Practice Address - Fax:678-550-9912
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AM PERFORMANCE GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies