Provider Demographics
NPI:1336868843
Name:DREXEL DISTRIBUTION INC
Entity Type:Organization
Organization Name:DREXEL DISTRIBUTION INC
Other - Org Name:EZ TEST NY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZORMATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-518-6900
Mailing Address - Street 1:441 LEXINGTON AVE RM 1221
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3931
Mailing Address - Country:US
Mailing Address - Phone:212-518-6900
Mailing Address - Fax:
Practice Address - Street 1:13 PEACH ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:GA
Practice Address - Zip Code:31006-5338
Practice Address - Country:US
Practice Address - Phone:212-518-6900
Practice Address - Fax:866-252-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No291U00000XLaboratoriesClinical Medical Laboratory