Matrix Medical Llc
LBN: Matrix Medical Llc
Matrix Medical Llc is an health care organization with primary practice located at 1201 Arapaho Ave Ste A , St Augustine FL 32084-4204. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty.
Matrix Medical Llc can be contacted via phone (904) 829-1799, or through Russalesi, Wendy via phone (484) 246-9499.
Contact Information
Primary practice address
1201 Arapaho Ave Ste A
St Augustine FL 32084-4204
Phone: (904) 829-1799
Fax: (904) 829-0549
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Oxygen Equipment & Supplies | 332BX2000X |
Profile Details
NPI number | 1932545993 |
---|---|
LBN Legal business name | Matrix Medical Llc |
DBA Doing business as | |
Authorized official | Russalesi, Wendy |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | May 17th, 2013 |
Last updated | Oct 6th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932545993 | NPPES |
Florida | MEDICAID | 015644300 |
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