Provider Demographics
NPI:1386813145
Name:NATIONAL ARTIFICIAL LIMB CO. INC
Entity type:Organization
Organization Name:NATIONAL ARTIFICIAL LIMB CO. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:KALAS
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:412-361-0544
Mailing Address - Street 1:5740 BAUM BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3775
Mailing Address - Country:US
Mailing Address - Phone:412-361-0544
Mailing Address - Fax:
Practice Address - Street 1:5740 BAUM BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3775
Practice Address - Country:US
Practice Address - Phone:412-361-0544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0912290001Medicare NSC