Organization
CORK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESMOND SOUTH (HUMAN RESOURCE / COMPLIANCE DIR.)
(317) 361-4563
Entity
Organization
Contact information
Practice address
10835 MILLINGTON CT, BLUE ASH, OH 45242-4019
(317) 361-4563
Mailing address
6406 CASTLEWAY CT STE 100, INDIANAPOLIS, IN 46250-1949
(317) 361-4563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMER-23135
OH
Other
Enumeration date
08/25/2015
Last updated
04/08/2016
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