MEDICARE: HOSPITAL DEVICE LOGISTICS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BD1200X	Dialysis Equipment & Supplies (DME)
3	332BN1400X	Nursing Facility Supplies (DME)
4	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
5	332BX2000X	Oxygen Equipment & Supplies (DME)
6	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1134674179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPITAL DEVICE LOGISTICS, LLC

Provider Business Mailing Address
First Line	:	10475 CROSSPOINT BLVD
Second Line	:	SUITE 250
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-3386
Country	:	US
Telephone Number	:	888-929-3757
Fax Number	:

Provider Business Practice Location Address
First Line	:	10475 CROSSPOINT BLVD
Second Line	:	SUITE 250
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-3386
Country	:	US
Telephone Number	:	888-929-3757
Fax Number	:

Authorized Official
Title or Position	:	DIR. OF OPERATIONS
Name	:	MR. BRIAN SCOTT ELLIS
Credential	:
Telephone Number	:	888-929-3757

Provider Enumeration Date	:	08/19/2016
Last Update Date	:	08/19/2016

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Directions to “HOSPITAL DEVICE LOGISTICS, LLC ” Practice Location

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