Organization · NPI-2

Advanced Diabetic Services

Durable Medical Equipment & Medical Supplies · Murfreesboro, TN

NPI number1063415834
StatusActive
Last updated in NPPESMar 31, 2008

Details

NPI
1063415834
Entity type
Organization (NPI-2)
Legal business name
Advanced Diabetic Services
Organization subpart
No
Enumeration date
May 24, 2005
Last updated
Mar 31, 2008

Taxonomy and licenses

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

Practice location

151 Heritage Park Dr
Ste 403
Murfreesboro, TN 37129-0505

Phone 615-896-4237 · Fax 615-848-1026

Mailing address

Po Box 10327
Murfreesboro, TN 37129-0000

Phone 615-896-4237 · Fax 615-848-1026

Authorized official

Ben James Saalfeld
Co-Owner
6158964237

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