Provider Demographics
NPI:1770109308
Name:ONYX MEDICAL EQUIPMENT-LLC
Entity type:Organization
Organization Name:ONYX MEDICAL EQUIPMENT-LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:737-203-8904
Mailing Address - Street 1:4709 MARGARET WALLACE RD #103
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-1902
Mailing Address - Country:US
Mailing Address - Phone:737-203-8904
Mailing Address - Fax:737-222-5101
Practice Address - Street 1:4709 MARGARET WALLACE RD #103
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-1902
Practice Address - Country:US
Practice Address - Phone:737-203-8904
Practice Address - Fax:737-222-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies