Provider Demographics
NPI:1952084238
Name:MEDLINE INDUSTRIES, LP
Entity Type:Organization
Organization Name:MEDLINE INDUSTRIES, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP SALES
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MARIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-931-1459
Mailing Address - Street 1:3 LAKES DR
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2753
Mailing Address - Country:US
Mailing Address - Phone:844-265-6512
Mailing Address - Fax:
Practice Address - Street 1:3446 HIGHWAY 51 N
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-9632
Practice Address - Country:US
Practice Address - Phone:662-449-8381
Practice Address - Fax:662-449-8203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies