Healthcare Provider Details

I. General information

NPI: 1356421267
Provider Name (Legal Business Name): TRILOGY DME SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 LYNDON FARM CT SUITE 201
LOUISVILLE KY
40223-5007
US

IV. Provider business mailing address

1650 LYNDON FARM CT SUITE 201
LOUISVILLE KY
40223-5007
US

V. Phone/Fax

Practice location:
  • Phone: 502-412-5847
  • Fax:
Mailing address:
  • Phone: 502-412-5847
  • Fax:

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: MR. PAUL P. PLEVYAK JR.
Title or Position: SENIOR VP- FINANCE
Credential:
Phone: 502-213-1710