Provider Demographics
NPI:1750566477
Name:ADVANCED MEDICAL SALES LLC
Entity type:Organization
Organization Name:ADVANCED MEDICAL SALES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SLOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-667-7404
Mailing Address - Street 1:12950 W 130TH ST
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-4671
Mailing Address - Country:US
Mailing Address - Phone:440-667-7404
Mailing Address - Fax:440-582-2575
Practice Address - Street 1:12950 W 130TH ST
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-4671
Practice Address - Country:US
Practice Address - Phone:440-667-7404
Practice Address - Fax:440-582-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1575508332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies