Healthcare Provider Details

I. General information

NPI: 1134043730
Provider Name (Legal Business Name): PRISM MEDICAL PRODUCTS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 E TENNESSEE AVE STE 2-420
DENVER CO
80224-1628
US

IV. Provider business mailing address

PO BOX 476
ELKIN NC
28621-0476
US

V. Phone/Fax

Practice location:
  • Phone: 888-244-6421
  • Fax: 800-975-6321
Mailing address:
  • Phone: 888-244-6421
  • Fax: 800-975-6321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JAMES ST CYR
Title or Position: VICE PRESIDENT AND GENERAL MANAGER
Credential:
Phone: 888-215-6405