Organization · Type 2 NPI
Medsource Mobility LLC
Durable Medical Equipment & Medical Supplies · Kimberly, ID
Practice location
319 Highway 30, Unit 3
Kimberly, ID 83341
Fax (800) 456-6504
Mailing address
10520 S 700 E Ste 209
Sandy, UT 84070-0945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None 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.
About NPI 1689161572
Medsource Mobility LLC's National Provider Identifier is 1689161572, issued on Apr 17, 2018. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Kimberly, ID. The record was last updated on Jul 17, 2018.