MADRAG LLC NPI 1508474768

NPI Information

NPI: 1508474768
Provider Name: MADRAG LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
200 BETHLEHEM DR BLDG C-145
MORGANTOWN, PA
ZIP 19543
Phone: (610) 913-0060
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MADRAG LLC is a customized equipment durable medical equipment medical supplies in Morgantown, PA. MADRAG LLC NPI is 1508474768. The provider is registered as an organization entity type.

The provider's business location address is:

200 BETHLEHEM DR BLDG C-145
MORGANTOWN, PA
ZIP 19543-771
Phone: (610) 913-0060
Fax: (610) 913-0065

The provider's authorized official is Lauren Gail Ragland .
The authorized official title is Attorney and has the following contact phone number (484) 437-4097.

The enumeration date for this NPI number is 7/14/2020 and was last updated on 7/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1033408400002	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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