Provider Demographics
NPI:1902193089
Name:LYMPHAMED INC.
Entity Type:Organization
Organization Name:LYMPHAMED INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ANSCHEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-919-2369
Mailing Address - Street 1:1350 E FLAMINGO RD
Mailing Address - Street 2:SUITE 284
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5263
Mailing Address - Country:US
Mailing Address - Phone:800-719-7951
Mailing Address - Fax:888-865-8954
Practice Address - Street 1:105 W 86TH ST
Practice Address - Street 2:STE 226
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3412
Practice Address - Country:US
Practice Address - Phone:800-919-2369
Practice Address - Fax:888-865-8954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies