Provider Demographics
NPI:1609623743
Name:SLINGSHOT BIONICS, LLC
Entity type:Organization
Organization Name:SLINGSHOT BIONICS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:405-850-2069
Mailing Address - Street 1:5300 N SHARTEL AVE UNIT 18187
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73154-4606
Mailing Address - Country:US
Mailing Address - Phone:405-850-2069
Mailing Address - Fax:
Practice Address - Street 1:220 SE 4TH ST STE 400
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73129-1002
Practice Address - Country:US
Practice Address - Phone:405-850-2069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier