Provider Demographics
NPI:1831998756
Name:MOSAIC PROSTHETIC SOLUTIONS LLC
Entity type:Organization
Organization Name:MOSAIC PROSTHETIC SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-635-1075
Mailing Address - Street 1:408 E WATERFORD ST
Mailing Address - Street 2:
Mailing Address - City:WAKARUSA
Mailing Address - State:IN
Mailing Address - Zip Code:46573-9552
Mailing Address - Country:US
Mailing Address - Phone:574-862-0007
Mailing Address - Fax:574-862-0020
Practice Address - Street 1:408 E WATERFORD ST
Practice Address - Street 2:
Practice Address - City:WAKARUSA
Practice Address - State:IN
Practice Address - Zip Code:46573-9552
Practice Address - Country:US
Practice Address - Phone:574-862-0007
Practice Address - Fax:574-862-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies