A1 Diabetes & Medical Supply, INC.
Durable Medical Equipment & Medical Supplies in Memphis, TN. Organization (NPI-2).
NPI number1992799787
StatusActive
Last updated in NPPESSep 16, 2014
Details
- NPI
- 1992799787
- Entity type
- Organization (NPI-2)
- Legal business name
- A1 Diabetes & Medical Supply, INC.
- Organization subpart
- No
- Enumeration date
- Sep 7, 2005
- Last updated
- Sep 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Lake Diabetes & Medical Supply, INC. (Former Legal Business Name)
Practice location
1785 Nonconnah BlvdSuite 110
Memphis, TN 38132-2104
Phone 800-316-7955 · Fax 888-491-3050
Mailing address
1785 Nonconnah BlvdSuite 110
Memphis, TN 38132-2104
Phone 800-316-7955 · Fax 888-491-3050
Authorized official
John Pereira
Ceo
3213256047
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