Stateserv Medical Of Phoenix LLC
Durable Medical Equipment & Medical Supplies in Glendale, AZ. Organization (NPI-2).
NPI number1164051900
StatusActive
Last updated in NPPESApr 3, 2020
Details
- NPI
- 1164051900
- Entity type
- Organization (NPI-2)
- Legal business name
- Stateserv Medical Of Phoenix LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2020
- Certification date
- Apr 3, 2020
- Last updated
- Apr 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
5234 W. MissouriGlendale, AZ 85301
Phone 877-633-7250
Mailing address
1201 South Alma School RdSuite 4000
Mesa, AZ 85210
Authorized official
Christopher Roode
Coo
8776337250
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