Provider Demographics
NPI:1811214851
Name:MIDLANDS MEDTECH LLC
Entity Type:Organization
Organization Name:MIDLANDS MEDTECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-410-2667
Mailing Address - Street 1:314 S MILL ST
Mailing Address - Street 2:
Mailing Address - City:MANNING
Mailing Address - State:SC
Mailing Address - Zip Code:29102-2917
Mailing Address - Country:US
Mailing Address - Phone:803-410-2667
Mailing Address - Fax:
Practice Address - Street 1:237 OAKLAND DR
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-4509
Practice Address - Country:US
Practice Address - Phone:843-549-3444
Practice Address - Fax:843-549-3474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2713416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport