Organization
PATIENT INFORMATION LOGISTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MATTINGLY (CHIEF EXECUTIVE OFFICER)
(615) 498-7271
Entity
Organization
Contact information
Practice address
8 CADILLAC DR, SUITE 450, BRENTWOOD, TN 37027-5087
(615) 498-7271
Mailing address
8 CADILLAC DR, SUITE 450, BRENTWOOD, TN 37027-5087
(615) 498-7271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
08/03/2010
Last updated
02/09/2013
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