Provider Demographics
NPI:1700695053
Name:SOUNDVIEW MEDICAL SUPPLY,
Entity type:Organization
Organization Name:SOUNDVIEW MEDICAL SUPPLY,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:DAENNA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:JANUARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-945-7683
Mailing Address - Street 1:3827 S CARSON ST # 1220
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-5538
Mailing Address - Country:US
Mailing Address - Phone:800-845-4925
Mailing Address - Fax:206-286-7667
Practice Address - Street 1:8423 MUKILTEO SPEEDWAY STE 202
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-3237
Practice Address - Country:US
Practice Address - Phone:800-845-4925
Practice Address - Fax:206-286-7667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies