Provider Demographics
NPI:1932819323
Name:MBTS MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:MBTS MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARTAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-604-4793
Mailing Address - Street 1:82 BUMBLE BEE CIR
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3214
Mailing Address - Country:US
Mailing Address - Phone:916-604-4793
Mailing Address - Fax:209-432-5590
Practice Address - Street 1:82 BUMBLE BEE CIR
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3214
Practice Address - Country:US
Practice Address - Phone:916-604-4793
Practice Address - Fax:209-432-5590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies