The Shoe Lab, Inc in Ruskin - Prosthetic/orthotic Supplier
The Shoe Lab, Inc - NPI 1730365453
The Shoe Lab, Inc is a Prosthetic/orthotic Supplier in Ruskin, Florida. The Shoe Lab, Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for The Shoe Lab, Inc is 1730365453. The last update date is 2018-08-31.
The Shoe Lab, Inc's current location address is 1201 1st St Sw, Ruskin, Florida. You can contact this provider via phone number 8136455800 and fax number 8136410319. The mailing address for The Shoe Lab, Inc is 1201 1st St Sw, Ruskin, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Shoe Lab, Inc |
|---|---|
| Address | 1201 1st St Sw, Ruskin, Florida |
| Phone Number | 8136455800 |
| Fax Number | 8136410319 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Corniello J Jeffrey |
| Credentials | PEDORTHIST |
| Telephone Number | 8136455800 |
NPI Number Detail
| NPI Number | 1730365453 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2018-08-31 |
Provider Mailing Address Detail
| Address | 1201 1st St Sw |
|---|---|
| City | Ruskin |
| State | Florida (FL) |
| Post Code | 335705345 |
| Phone Number | 8136455800 |
| Fax Number | 8136410319 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
| Licence No | PED 76 |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1855300 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to The Shoe Lab, Inc by the Centers for Medicare & Medicaid Services?
The The Shoe Lab, Inc has been assigned the NPI (National Provider Identifier) 1730365453 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where The Shoe Lab, Inc's facilities are situated?
The facilities of The Shoe Lab, Inc are physically located at the following address: 1201 1St St Sw, Ruskin, FL, 335705345.
What is the area of specialization for The Shoe Lab, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for The Shoe Lab, Inc is Prosthetic/orthotic Supplier, and the corresponding taxonomy code that categorizes this area of expertise is 335E00000X.
On what date was the 1730365453 assigned to The Shoe Lab, Inc?
The The Shoe Lab, Inc was issued its 1730365453 on 2008-01-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to The Shoe Lab, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to The Shoe Lab, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-08-31.