Organization · Type 2 NPI
Medprime Revenue LLC
Customized Equipment (DME) · Stockton, CA
NPI number
1104725712
Active
Practice location
1331 Princess Dr
Stockton, CA 95209-1926
Fax (201) 479-1498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
3 other providers at this address
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About NPI 1104725712
Medprime Revenue LLC's National Provider Identifier is 1104725712, issued on Nov 2, 2026. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Stockton, CA. The record was last updated on Nov 2, 2026.