Provider Demographics
NPI:1477940237
Name:MEDTIX LLC
Entity type:Organization
Organization Name:MEDTIX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMEBER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-645-8070
Mailing Address - Street 1:16337 COASTAL HWY
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3607
Mailing Address - Country:US
Mailing Address - Phone:302-645-8070
Mailing Address - Fax:302-645-8870
Practice Address - Street 1:803 N SALISBURY BLVD
Practice Address - Street 2:SUITE 2300
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-3650
Practice Address - Country:US
Practice Address - Phone:302-645-8070
Practice Address - Fax:302-645-8870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies