Provider Demographics
NPI:1871766626
Name:CLEARPATH MEDICAL LLC
Entity type:Organization
Organization Name:CLEARPATH MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:E
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-442-0395
Mailing Address - Street 1:PO BOX 3840
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20027-0840
Mailing Address - Country:US
Mailing Address - Phone:800-877-1438
Mailing Address - Fax:
Practice Address - Street 1:3150 SOUTH ST NW
Practice Address - Street 2:2B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-4433
Practice Address - Country:US
Practice Address - Phone:703-442-0395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies