Organization Active NPI

Mayfield Inc.

Doing business as Fastserv Medical

  • Customized Equipment (DME)
  • Bossier City, LA
National Provider Identifier
1083044325
Registry record updated Nov 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MAYFIELD INC.
Doing business as
Fastserv Medical
Practice address
1329 Driftwood Dr
Bossier City, LA 71111-2840
Phone
(318) 741-9586
Fax
(318) 741-9587
NPI assigned
Nov 23, 2013
Last updated
Nov 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2013

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

Authorized official

Name
Christine Mayfield
Title
Owner/Manager
Phone
(318) 396-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1329 Driftwood Dr
Bossier City, LA 71111-2840

Mailing address

112 Summer LN
West Monroe, LA 71291-3500
Phone (318) 396-3366

Other names 1

  • FASTSERV MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

1329 Driftwood Dr
Bossier City, LA 71111
Phone (318) 741-9586

NPI Registry JSON

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

{
    "created_epoch": "1385164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385164800000",
    "number": "1083044325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SUMMER LN",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712913500",
            "telephone_number": "318-396-3366",
            "fax_number": "318-397-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 DRIFTWOOD DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112840",
            "telephone_number": "318-741-9586",
            "fax_number": "318-741-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-23",
        "last_updated": "2013-11-23",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "318-396-3366"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FASTSERV MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2013; 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.