Healthcare Provider Details

I. General information

NPI: 1457354219
Provider Name (Legal Business Name): ELIZUR CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800A MCKNIGHT RD STE 100
PITTSBURGH PA
15237-6005
US

IV. Provider business mailing address

9800A MCKNIGHT RD STE 200
PITTSBURGH PA
15237-6003
US

V. Phone/Fax

Practice location:
  • Phone: 412-358-4523
  • Fax: 412-358-4518
Mailing address:
  • Phone: 412-358-4523
  • Fax: 412-358-4518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6000005948
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number6000005948
License Number StatePA

VIII. Authorized Official

Name: MR. JAMES GRANT
Title or Position: OWNER
Credential:
Phone: 412-358-4523