Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI Number | 1073551131 |
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| LBN Legal business name | PRODIGY MEDICAL, LLC | ||||||||
| Authorized official | BERENICE HALPIN - (PARTNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/02/2006 | ||||||||
| Last updated | 12/30/2025 - About 5 months ago | ||||||||
| Identifiers |
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