Provider Demographics
NPI:1053895102
Name:CAROLINAS MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:CAROLINAS MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEM MGR
Authorized Official - Prefix:
Authorized Official - First Name:MUKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNTAKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-994-4466
Mailing Address - Street 1:7701 SHARON LAKES BLVD
Mailing Address - Street 2:STE A.
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210
Mailing Address - Country:US
Mailing Address - Phone:718-607-4595
Mailing Address - Fax:
Practice Address - Street 1:7701 SHARON LAKES BLVD
Practice Address - Street 2:STE A.
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210
Practice Address - Country:US
Practice Address - Phone:718-607-4595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies