MEDSOURCE EQUIPMENT LLC NPI 1699941211

NPI Information

MEDSOURCE EQUIPMENT LLC is a prosthetic orthotic supplier in Johnson City, TN. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MEDSOURCE EQUIPMENT LLC NPI is 1699941211. The provider is registered as an organization entity type.

The provider's business location address is:

3201 BRISTOL HWY
SUITE 4
JOHNSON CITY, TN
ZIP 37601-565
Phone: (423) 262-8327
Fax: (423) 262-8329

The provider's authorized official is Reynaldo Martinez .
The authorized official title is Owner and has the following contact phone number (423) 262-8327.

The enumeration date for this NPI number is 5/3/2008 and was last updated on 5/15/2008.

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:

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