Provider Demographics
NPI:1184956070
Name:LOSSING BIO MEDICAL, INC
Entity type:Organization
Organization Name:LOSSING BIO MEDICAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AREA MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSSING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-410-2480
Mailing Address - Street 1:5617 N 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-1707
Mailing Address - Country:US
Mailing Address - Phone:602-410-2480
Mailing Address - Fax:602-997-3960
Practice Address - Street 1:5617 N 10TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-1707
Practice Address - Country:US
Practice Address - Phone:602-410-2480
Practice Address - Fax:602-997-3960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies