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A&D HEALTHCARE LLC NPI 1992759153


NPI Information

NPI: 1992759153
Provider Name: A&D HEALTHCARE LLC

Doing Business As: MID SOUTH MEDICAL & MOBILITY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 44D2214905

Address:
5138 OLD SUMMER RD
MEMPHIS, TN
ZIP 38122
Phone: (901) 507-2561
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A&D HEALTHCARE LLC is a durable medical equipment medical supplies in Memphis, TN. 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. A&D HEALTHCARE LLC NPI is 1992759153. The provider is registered as an organization entity type.
The provider Is Doing Business As Mid South Medical & Mobility.

The provider's business location address is:

5138 OLD SUMMER RD
MEMPHIS, TN
ZIP 38122-403
Phone: (901) 507-2561
Fax: (901) 339-3274

The provider's authorized official is Frederick T Stukenborg .
The authorized official title is Chief Manager and has the following contact phone number (901) 461-7688.

The CLIA number assigned to this NPI record is 44D2214905 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 6/7/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesTENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11454277MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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