Provider Demographics
NPI:1942613849
Name:PENGUIN SYSTEMS, LTD.
Entity Type:Organization
Organization Name:PENGUIN SYSTEMS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:P
Authorized Official - Last Name:MORAN
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:614-859-6971
Mailing Address - Street 1:3576 TILLBURY AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-5051
Mailing Address - Country:US
Mailing Address - Phone:614-598-5425
Mailing Address - Fax:
Practice Address - Street 1:1551 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-2763
Practice Address - Country:US
Practice Address - Phone:614-859-6971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies