MEDSOURCE LLC
Medical Equipment Supplier Yellow Pages
Indianapolis, Indiana
Provider NPI: 1942389127
Organization Information:Organization Name: MEDSOURCE LLC
Practice Location:
650 N GIRLS SCHOOL RD STE C35 INDIANAPOLIS, IN 46214 US
Tel: 317-863-3760 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
650 N GIRLS SCHOOL RD STE C35 INDIANAPOLIS, IN 46214 US
Tel: 317-863-3760 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | IL | 203.000461 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
69000622A | LICENSE | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin