Organization · NPI-2

1 Source Medical LLC

Durable Medical Equipment & Medical Supplies · Charlotte, NC

NPI number1073407326
StatusActive
Last updated in NPPESJun 3, 2025

Details

NPI
1073407326
Entity type
Organization (NPI-2)
Legal business name
1 Source Medical LLC
Organization subpart
No
Enumeration date
Jun 3, 2025
Certification date
Jun 3, 2025
Last updated
Jun 3, 2025

Taxonomy and licenses

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

Practice location

3423 Knob Hill Ct
Charlotte, NC 28210-6409

Phone 704-491-6655

Mailing address

3423 Knob Hill Ct
Charlotte, NC 28210-6409

Phone 704-491-6655

Authorized official

Marc D Levitt
President
7044916655

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