TLC Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TLC MEDICAL LLC

Practice address

11300 Stonewall Jackson Dr
Spotsylvania, VA 22551-4604

Phone

(716) 281-8529

Fax

(716) 770-1918

NPI assigned

Jun 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carla Kashuba

Title

Manager

Phone

(716) 548-1112

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1992435887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1118",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142311118",
            "telephone_number": "716-281-8529",
            "fax_number": "716-770-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 STONEWALL JACKSON DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225514604",
            "telephone_number": "716-281-8529",
            "fax_number": "716-770-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "KASHUBA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-548-1112"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.