MEDICARE: ELIZUR CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	6000005948	PA
2	332B00000X	Durable Medical Equipment & Medical Supplies	6000005948	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	308521	OTHER		UPMC HEALTH PLAN
3	602435000	OTHER	PA	DEPARTMENT OF LABOR

General Provider Information

NPI Number	:	1457354219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZUR CORPORATION

Provider Business Mailing Address
First Line	:	9800A MCKNIGHT RD
Second Line	:	STE 200
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6003
Country	:	US
Telephone Number	:	412-358-4523
Fax Number	:	412-358-4518

Provider Business Practice Location Address
First Line	:	9800A MCKNIGHT RD STE 100
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6005
Country	:	US
Telephone Number	:	412-358-4523
Fax Number	:	412-358-4518

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES GRANT
Credential	:
Telephone Number	:	412-358-4523

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	02/28/2025

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Directions to “ELIZUR CORPORATION ” Practice Location

Language	Start Address	Practice Location

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