Provider Demographics
NPI:1972154128
Name:PLATINUM SUPPLIES
Entity Type:Organization
Organization Name:PLATINUM SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JEANENE
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-407-8870
Mailing Address - Street 1:9344 COMSTOCK DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2807
Mailing Address - Country:US
Mailing Address - Phone:513-407-8870
Mailing Address - Fax:513-407-8870
Practice Address - Street 1:9344 COMSTOCK DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2807
Practice Address - Country:US
Practice Address - Phone:513-407-8870
Practice Address - Fax:513-407-8870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies