Organization · Type 2 NPI

Mizellore Medical Solutions LLC

Customized Equipment (DME) · Roanoke, VA

NPI number 1114667110 Active

Practice location

3755 Wilmont Ave NW
Roanoke, VA 24017-6509

Mailing address

4727 Valley View Blvd NW # 1061
Roanoke, VA 24012-2000

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1114667110

Mizellore Medical Solutions LLC's National Provider Identifier is 1114667110, issued on Mar 30, 2022. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Roanoke, VA. The record was last updated on Mar 30, 2022.