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MED INC NPI 1891702510


NPI Information

NPI: 1891702510
Provider Name: MED INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 49D2276018

Address:
485 SOUTHLAKE BLVD
NORTH CHESTERFIELD, VA
ZIP 23236
Phone: (804) 674-6688
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MED INC is a durable medical equipment medical supplies in North Chesterfield, VA. 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. MED INC NPI is 1891702510. The provider is registered as an organization entity type.

The provider's business location address is:

485 SOUTHLAKE BLVD
NORTH CHESTERFIELD, VA
ZIP 23236-044
Phone: (804) 674-6688
Fax: (804) 674-6610

The provider's authorized official is Robin L Menchen .
The authorized official title is Chief Executive Officer and has the following contact phone number (407) 822-4600.

The CLIA number assigned to this NPI record is 49D2276018 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 4/1/2024.


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 Supplies0206009137VIRGINIAYes
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
4332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
5335E00000XProsthetic/Orthotic SupplierNo

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
1009104682MEDICAIDVIRGINIA

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: 5/5/2024

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