Organization
CENTRAD HEALTHCARE, LLC
Active
Organization
CENTRAD HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R KORSLIN (CEO)
(630) 369-5840
Entity
Organization
Contact information
Practice address
8549 CORDES CIR, #100, GERMANTOWN, TN 38139-3370
(901) 755-8412
Mailing address
184 SHUMAN BLVD, SUITE 130, NAPERVILLE, IL 60563-1219
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000001084
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000001084
HOME MEDICAL EQUIPMENT LICENSURE
TN
05
—
1519732
—
TN
Enumeration date
05/01/2013
Last updated
05/01/2013
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