Provider Demographics
NPI:1851849467
Name:DECO SCIENTIFIC LLC
Entity Type:Organization
Organization Name:DECO SCIENTIFIC LLC
Other - Org Name:DECO HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-521-9475
Mailing Address - Street 1:248 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7977
Mailing Address - Country:US
Mailing Address - Phone:740-521-9475
Mailing Address - Fax:
Practice Address - Street 1:248 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7977
Practice Address - Country:US
Practice Address - Phone:740-521-9475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMEL. 11784332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHHMEL. 11784OtherHOME MEDICAL EQUIPMENT SERVICE PROVIDER LICENSE