Organization · Type 2 NPI

Life Source Medical, Inc.

Durable Medical Equipment & Medical Supplies · Princeton, WV

NPI number 1326223082 Active

Practice location

1439 Main Street, Suite 1
Princeton, WV 24740

Fax (304) 431-3330

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

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 1326223082

Life Source Medical, Inc.'s National Provider Identifier is 1326223082, issued on Dec 31, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Princeton, WV. The record was last updated on Dec 31, 2007.