Organization
PROFIX MEDICAL REPAIR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIANE HARVEY (CEO)
(267) 687-7100
Entity
Organization
Contact information
Practice address
1500 WALNUT ST, SUITE 700, PHILADELPHIA, PA 19102-3523
(267) 687-7100
(267) 687-7101
Mailing address
1500 WALNUT ST, SUITE 700, PHILADELPHIA, PA 19102-3523
(267) 687-7100
(267) 687-7101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000007884
PA
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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