Mediquip Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

133568 Issued in GA

Legal business name

MEDIQUIP MEDICAL SUPPLIES INC

Practice address

4404 Hugh Howell Rd
Suite 21
Tucker, GA 30084-5996

Phone

(770) 270-5808

NPI assigned

Nov 3, 2006

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Priscilla Watt

Title

Ceo

Phone

(770) 498-7077

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1003995887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 HUGH HOWELL ROAD",
            "address_2": "SUITE 21",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845996",
            "telephone_number": "770-270-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 HUGH HOWELL RD",
            "address_2": "SUITE 21",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845996",
            "telephone_number": "770-270-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUIP MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-498-7077",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "133568",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "133568",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000885684A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meadowbrook Operator LLC (Meadowbrook Health and Rehab)
• Meadows Med Group Inc
• Med-Corp EMS, Inc
• Medical Associates of Georgia
• Medicor Healthcare, Inc (Medicor Healthcare)
• Mediquip Medical Supplies Inc of Tucker
• Mediwellness, LLC
• Medlife Medical Supply LLC
• Meena H. Mehta
• Meena Harshad Mehta, DDS

• Durable Medical Equipment & Medical Supplies in Tucker, GA
• Providers in Tucker, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.