Provider Demographics
NPI:1962459149
Name:MCLAUGHLIN COMPANY 2, LLC
Entity Type:Organization
Organization Name:MCLAUGHLIN COMPANY 2, LLC
Other - Org Name:FOOT SOLUTIONS-GILBERT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-813-6936
Mailing Address - Street 1:3761 E BASELINE RD STE H134
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-5451
Mailing Address - Country:US
Mailing Address - Phone:480-813-6921
Mailing Address - Fax:
Practice Address - Street 1:3761 E BASELINE RD STE H134
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-5451
Practice Address - Country:US
Practice Address - Phone:480-813-6921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0703880OtherBC
AZAZ0703880OtherBC