MEDSOURCE MEDICAL DME LLC NPI 1508030743

NPI Information

  • NPI: 1508030743
  • Provider Name: MEDSOURCE MEDICAL DME LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: MEDSOURCE MEDICAL DME LLC
  • Address: 320 MIDLAND PKWY
    STE B
    SUMMERVILLE, SC
    ZIP 29485
  • Phone: (843) 906-5020

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NPI Details

MEDSOURCE MEDICAL DME LLC is a durable medical equipment medical supplies in Summerville, SC. 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 DME LLC NPI is 1508030743. The provider is registered as an organization entity type.
The provider Is Doing Business As Medsource Medical Dme Llc.

The provider's business location address is:

320 MIDLAND PKWY
STE B
SUMMERVILLE, SC
ZIP 29485-197
Phone: (843) 906-5020
Fax: (843) 970-8055

The provider's authorized official is Melinda Campbell Dingle .
The authorized official title is President and has the following contact phone number (843) 906-5020.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 8/12/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesSOUTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DE2428MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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