Provider Demographics
NPI:1336421577
Name:O2S LLC
Entity Type:Organization
Organization Name:O2S LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SACHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-299-8032
Mailing Address - Street 1:1500 SPRING GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-4067
Mailing Address - Country:US
Mailing Address - Phone:215-299-8032
Mailing Address - Fax:215-656-2617
Practice Address - Street 1:1500 SPRING GARDEN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-4067
Practice Address - Country:US
Practice Address - Phone:215-299-8032
Practice Address - Fax:215-656-2617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies