Organization
QUADRICISER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATSY BOHANAN (CFO)
(865) 689-5003
Entity
Organization
Contact information
Practice address
6624 CENTRAL AVENUE PIKE, KNOXVILLE, TN 37912-1400
(865) 689-5003
(865) 689-8956
Mailing address
6624 CENTRAL AVENUE PIKE, KNOXVILLE, TN 37912-1400
(865) 689-5003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0317777
TN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417305798
NPI
TN
Enumeration date
05/27/2016
Last updated
06/29/2016
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