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Contact Information

TETRA LOGISTICS LLC
15 STERN LIGHT DRIVE
MOUNT LAUREL, NJ08054
 Phone: 609-334-2007
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for TETRA LOGISTICS LLC

NPI Number 1548712565
LBN Legal business name TETRA LOGISTICS LLC
Authorized official ALBERT DOKU - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2016
Last updated 10/25/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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