Organization · Type 2 NPI
Source One Medical Inc
Durable Medical Equipment & Medical Supplies · Omaha, NE
NPI number
1881703684
Active
Practice location
2124 S 156th Cir
Omaha, NE 68130-2503
Fax (949) 387-6371
Mailing address
38 Tesla, Suite 150
Irvine, CA 92618-4669
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.
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About NPI 1881703684
Source One Medical Inc's National Provider Identifier is 1881703684, issued on Aug 29, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Omaha, NE. The record was last updated on Jun 6, 2011.