Provider Demographics
NPI:1104143643
Name:VISION MEDICAL LOGISTICS
Entity type:Organization
Organization Name:VISION MEDICAL LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-292-4972
Mailing Address - Street 1:5555 MAGNATRON BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-1308
Mailing Address - Country:US
Mailing Address - Phone:858-292-4970
Mailing Address - Fax:858-292-4989
Practice Address - Street 1:5555 MAGNATRON BLVD STE I
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1308
Practice Address - Country:US
Practice Address - Phone:858-292-4970
Practice Address - Fax:858-292-4989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital