Organization Name: | EDGE MEDICAL SUPPLY, LLC |
NPI Number: | 1013005545 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN P. GRIGGS (CEO) |
Mailing Address: | 2811 Robertson Rd Suite B Tyler |
State: | TX US |
Postal Code: | 757012524 |
Phone Number: | 9035263363 |
Fax Number: | 9035926964 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 09/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |