3Rd St Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

3RD ST MEDICAL SUPPLY INC

Doing business as

Dynamic Repair Solutions

Practice address

5724 Westbourne Ave
Columbus, OH 43213-1400

Phone

(714) 988-6585

NPI assigned

Mar 31, 2014

Last updated

Oct 14, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

DYNAMIC REPAIR SOLUTIONS, INCAs reported in NPPES

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

Authorized official

Name

Noha M Abdellatif

Title

Ceo

Phone

(714) 988-6585

Specialties & licenses 1

Addresses

Other names 1

• Dynamic Repair Solutions Doing business as

Locations

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1063830701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 WESTBOURNE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131400",
            "telephone_number": "714-988-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 WESTBOURNE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131400",
            "telephone_number": "714-988-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3RD ST MEDICAL SUPPLY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYNAMIC REPAIR SOLUTIONS, INC",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "ABDELLATIF",
        "authorized_official_first_name": "NOHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-988-6585"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Repair Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Columbus, OH
• Providers in Columbus, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.