MEDSOURCE MEDICAL LLC NPI 1679859169

NPI Information

MEDSOURCE MEDICAL, LLC is a durable medical equipment medical supplies in Sandy, UT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDSOURCE MEDICAL, LLC NPI is 1679859169. The provider is registered as an organization entity type.
The provider Is Doing Business As Ingram Medical.

The provider's business location address is:

9883 S 500 W
SANDY, UT
ZIP 84070-561
Phone: (877) 577-7767
Fax: (801) 727-0092

The provider's authorized official is Robert Rose .
The authorized official title is Coo and has the following contact phone number (877) 577-7767.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 10/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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