LANER DIALYSIS SUPPLY CO., LLC
Medical Equipment Supplier Yellow Pages
Hurricane, West Virginia
Provider NPI: 1679568786
Organization Information:Organization Name: LANER DIALYSIS SUPPLY CO., LLC
Practice Location:
153 CHURCH CAMP RD HURRICANE, WV 25526 US
Tel: 304-720-5050 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
153 CHURCH CAMP RD HURRICANE, WV 25526 US
Tel: 304-720-5050 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332BD1200X | Suppliers Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | WV | 0353710-001 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
6203010000 | WV | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin