Provider Demographics
NPI:1952601320
Name:STERLING MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:STERLING MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-906-0220
Mailing Address - Street 1:6547 N FOSTER DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70811-6115
Mailing Address - Country:US
Mailing Address - Phone:225-906-0220
Mailing Address - Fax:225-906-5530
Practice Address - Street 1:6547 N FOSTER DR
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70811-6115
Practice Address - Country:US
Practice Address - Phone:225-906-0220
Practice Address - Fax:225-906-5530
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHENLY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies