Provider Demographics
NPI:1013276773
Name:STRYKER MEDICAL SOLUTION LLC
Entity Type:Organization
Organization Name:STRYKER MEDICAL SOLUTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MADHU
Authorized Official - Middle Name:
Authorized Official - Last Name:PUVVULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-420-3977
Mailing Address - Street 1:P O BOX - 111138
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210
Mailing Address - Country:US
Mailing Address - Phone:310-420-3977
Mailing Address - Fax:
Practice Address - Street 1:16161 ENCINO BLVD
Practice Address - Street 2:SUITE C, # 524
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436
Practice Address - Country:US
Practice Address - Phone:310-420-3977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory