| Organization Name: | BLUE DOT MEDICAL, INC |
| NPI Number: | 1750748547 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY L MORGAN (PRESIDENT) |
| Mailing Address: | 1827d Simpson Highway 149 Mendenhall |
| State: | MS US |
| Postal Code: | 391143439 |
| Phone Number: | 6019680981 |
| Fax Number: | 6019680983 |
| NPI Enumeration Date: | 01/25/2016 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 05646/11.1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |