Provider Demographics
NPI:1285247338
Name:ALLEDRAN MED LLC
Entity type:Organization
Organization Name:ALLEDRAN MED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:NARDELLA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:860-614-1585
Mailing Address - Street 1:47 AVONWOOD ROAD
Mailing Address - Street 2:UNIT #218
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001
Mailing Address - Country:US
Mailing Address - Phone:860-614-1585
Mailing Address - Fax:860-371-2008
Practice Address - Street 1:47 AVONWOOD ROAD
Practice Address - Street 2:UNIT #218
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001
Practice Address - Country:US
Practice Address - Phone:860-614-1585
Practice Address - Fax:860-371-2008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies