Organization
MADRAG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN GAIL RAGLAND ESQUIRE (ATTORNEY)
(484) 437-4097
Entity
Organization
Contact information
Practice address
200 BETHLEHEM DR BLDG C-145, MORGANTOWN, PA 19543-9771
(610) 913-0060
(610) 913-0065
Mailing address
200 BETHLEHEM DR BLDG C-145, MORGANTOWN, PA 19543-9771
(610) 913-0060
(610) 913-0065
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033408400002
—
PA
Enumeration date
07/14/2020
Last updated
07/14/2020
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