Provider Demographics
NPI:1891014957
Name:NEUTRALEZ LLC
Entity Type:Organization
Organization Name:NEUTRALEZ LLC
Other - Org Name:OSTOSTORE.COM
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:TIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-401-0116
Mailing Address - Street 1:1234 ZIMMER DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-2273
Mailing Address - Country:US
Mailing Address - Phone:404-401-0116
Mailing Address - Fax:866-929-7194
Practice Address - Street 1:1234 ZIMMER DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-2273
Practice Address - Country:US
Practice Address - Phone:404-401-0116
Practice Address - Fax:866-929-7194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies