Mizellore Medical Solutions LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MIZELLORE MEDICAL SOLUTIONS LLC

Doing business as

MZL Prosthetics

Practice address

3755 Wilmont Ave NW
Roanoke, VA 24017-6509

Phone

(540) 494-4457

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Mizellore Lexima, RNNPI 1568335610

Title

Owner

Phone

(540) 494-4457

Specialties & licenses 1

Addresses

Other names 1

• MZL PROSTHETICS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mizellore Lexima

  • Family Nurse Practitioner
  • Richmond, VA
  • NPI 1568335610
  NPD Authorized official

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1114667110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 VALLEY VIEW BLVD NW # 1061",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122000",
            "telephone_number": "540-494-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 WILMONT AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240176509",
            "telephone_number": "540-494-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIZELLORE MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "LEXIMA",
        "authorized_official_first_name": "MIZELLORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-494-4457",
        "authorized_official_credential": "RN"
    },
    "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": "MZL PROSTHETICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Mitchell, MMP, CRP
• Tara Ann Mitchell, PH.D.
• William Craig Mitchell, M.D.
• James Samuel Mitchener III, MD
• Sandeep Mittal, MD FRCSC FACS
• Mark Mizuba, CRNA
• MLB Medical Transport Services LLC
• Alysa V Modi
• Gay Carol Moffit, LPC
• David Ndikum Moffor, DNP, CRNA

• Customized Equipment (DME) in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Customized Equipment (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.