Provider Demographics
NPI:1750713327
Name:MEDRITE MEDICAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:MEDRITE MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:F DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSSELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-309-0585
Mailing Address - Street 1:297 KINGSBURY GRADE
Mailing Address - Street 2:STE 100, MAIL BOX 4470
Mailing Address - City:STATELINE
Mailing Address - State:NV
Mailing Address - Zip Code:89449-9804
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:297 KINGSBURY GRADE
Practice Address - Street 2:STE 100, MAIL BOX 4470
Practice Address - City:STATELINE
Practice Address - State:NV
Practice Address - Zip Code:89449-9804
Practice Address - Country:US
Practice Address - Phone:310-309-0585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory