Organization Name: | EXPRESS MEDICAL DME LIMITED LIABILITY CORPORATION |
NPI Number: | 1316294226 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARNEL MIRAVALLES (PRESIDENT) |
Mailing Address: | 1575 Route 37 W Unit 9 Toms River |
State: | NJ US |
Postal Code: | 087554962 |
Phone Number: | 7324212143 |
Fax Number: | 7322407240 |
NPI Enumeration Date: | 08/09/2012 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |