Metrostars Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

METROSTARS MEDICAL EQUIPMENT

Practice address

6240 N 104TH St
Milwaukee, WI 53225-1406

Phone

(262) 352-6217

NPI assigned

Jan 23, 2015

Last updated

Jan 23, 2015By 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

Timothy Wablong Lee

Title

Ceo

Phone

(262) 352-6217

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1023408424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 N 104TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251406",
            "telephone_number": "262-352-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 N 104TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532251406",
            "telephone_number": "262-352-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROSTARS MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "WABLONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-352-6217"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.