Provider Demographics
NPI:1811192073
Name:MIDTOWN INVESTMENTS LLC
Entity Type:Organization
Organization Name:MIDTOWN INVESTMENTS LLC
Other - Org Name:CUSTOM MEDICAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:L
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-842-7380
Mailing Address - Street 1:7100 NORTHLAND CIR N
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55428-1548
Mailing Address - Country:US
Mailing Address - Phone:763-535-0118
Mailing Address - Fax:763-536-0932
Practice Address - Street 1:7862 W CENTRAL AVE
Practice Address - Street 2:SUITE C
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-1509
Practice Address - Country:US
Practice Address - Phone:419-841-8339
Practice Address - Fax:419-841-8398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH90501312332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies