Organization
LADB MEDICAL SUPPLIES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY DAVID BAMONTE (OWNER)
(310) 347-2752
Entity
Organization
Contact information
Practice address
1854 COLBY AVE APT 1, LOS ANGELES, CA 90025-5420
(310) 347-2752
Mailing address
1854 COLBY AVE APT 1, LOS ANGELES, CA 90025-5420
(310) 347-2752
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1083937122
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031605
—
OH
Enumeration date
09/17/2014
Last updated
09/17/2014
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