Provider Demographics
NPI:1891008165
Name:ALPHA BEDDING LLC
Entity Type:Organization
Organization Name:ALPHA BEDDING LLC
Other - Org Name:ALPHA TEKNIKO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-550-5110
Mailing Address - Street 1:1000 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-1545
Mailing Address - Country:US
Mailing Address - Phone:847-550-5110
Mailing Address - Fax:847-550-6710
Practice Address - Street 1:1000 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-1545
Practice Address - Country:US
Practice Address - Phone:847-550-5110
Practice Address - Fax:847-550-6710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies