MEDICARE: LTESM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1467262527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LTESM

Provider Business Mailing Address
First Line	:	1158 AYERSHIRE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-3819
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1158 AYERSHIRE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-3819
Country	:	US
Telephone Number	:	432-301-9523
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SATRT SATRT
Credential	:
Telephone Number	:	423-232-4454

Provider Enumeration Date	:	01/10/2025
Last Update Date	:	01/28/2025

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Directions to “LTESM ” Practice Location

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