=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457354219
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELIZUR CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2005
-----------------------------------------------------
Last Update Date | 02/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9800A MCKNIGHT RD STE 100
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15237-6005
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-358-4523
-----------------------------------------------------
Fax | 412-358-4518
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9800A MCKNIGHT RD STE 200
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15237-6003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-358-4523
-----------------------------------------------------
Fax | 412-358-4518
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JAMES GRANT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 412-358-4523
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 335E00000X
-----------------------------------------------------
Taxonomy Name | Prosthetic/Orthotic Supplier
-----------------------------------------------------
License Number | 6000005948
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 6000005948
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------