Organization · NPI-2

3rd St Medical Supply INC

Durable Medical Equipment & Medical Supplies · Lansing, MI

NPI number1013335769
StatusActive
Last updated in NPPESOct 14, 2014

Details

NPI
1013335769
Entity type
Organization (NPI-2)
Legal business name
3rd St Medical Supply INC
Organization subpart
Yes
Enumeration date
Mar 31, 2014
Last updated
Oct 14, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Other names

  • Dynamic Repair Solutions (Doing Business As)

Practice location

1501 Rensen St
Ste D
Lansing, MI 48910-3669

Phone 714-988-6585

Mailing address

1501 Rensen St
Ste D
Lansing, MI 48910-3669

Phone 714-988-6585

Authorized official

Noha M Abdellatif
Ceo
7149886585

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