Provider Demographics
NPI:1982800041
Name:TRIADON CORPORATION
Entity type:Organization
Organization Name:TRIADON CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MITCH
Authorized Official - Middle Name:
Authorized Official - Last Name:EDLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-951-4888
Mailing Address - Street 1:PO BOX 113269
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75011-3269
Mailing Address - Country:US
Mailing Address - Phone:469-951-4888
Mailing Address - Fax:214-432-0319
Practice Address - Street 1:2102 MENTON DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-4317
Practice Address - Country:US
Practice Address - Phone:469-951-4888
Practice Address - Fax:214-432-0319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies