Organization · Type 2 NPI

Medsource LLC

Durable Medical Equipment & Medical Supplies · Hales Corners, WI

NPI number 1275847725 Active

Practice location

5300 S 108th St Ste 19
Hales Corners, WI 53130-1368

Fax (262) 446-4851

Mailing address

PO Box 1248
Bloomington, IL 61702-1248

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X203.001082 (IL)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1275847725

Medsource LLC's National Provider Identifier is 1275847725, issued on Jul 27, 2010. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Hales Corners, WI. The record was last updated on Nov 30, 2020.