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Organization

ATLASMEDART LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTON ARTAMASAV (CHIEF EXECUTIVE OFFICER)
(502) 630-1996
Entity
Organization

Contact information

Practice address
310 E BROADWAY STE 120, LOUISVILLE, KY 40202-1745
(502) 630-1995
(502) 708-1599
Mailing address
310 E BROADWAY STE 120, LOUISVILLE, KY 40202-1745
(502) 708-1599

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
263672
KY STATE LICENSE
KY
01
69001687A
IN STATE LICENSE
IN
05
7100684010
KY
Enumeration date
04/08/2020
Last updated
12/03/2021
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