Provider Demographics
NPI:1952524084
Name:ADVANCED THERAPEUTIC EQUIPMENT
Entity Type:Organization
Organization Name:ADVANCED THERAPEUTIC EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARZILAUSKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-332-5110
Mailing Address - Street 1:100 N CURRY PIKE
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-2593
Mailing Address - Country:US
Mailing Address - Phone:812-332-5110
Mailing Address - Fax:812-349-4003
Practice Address - Street 1:100 N CURRY PIKE
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-2593
Practice Address - Country:US
Practice Address - Phone:812-332-5110
Practice Address - Fax:812-349-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0148080001Medicare NSC