Active NPI
All Durable Medical
- Durable Medical Equipment & Medical Supplies
- Lake Havasu City, AZ
National Provider Identifier
1114667219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ALL DURABLE MEDICAL
- Practice address
- 344 London Bridge Rd Ste F
Lake Havasu City, AZ 86403-4619 - Phone
- (928) 302-3140
- Fax
- (928) 302-3140
- NPI assigned
- Mar 29, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Martinez
- Title
- Ownr
- Phone
- (928) 302-3140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
344 London Bridge Rd Ste F
Lake Havasu City, AZ 86403-4619
Mailing address
344 London Bridge Rd Ste F
Lake Havasu City, AZ 86403-4619
Phone (928) 302-3140
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Alldurablemed@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648512000000",
"number": "1114667219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 LONDON BRIDGE RD STE F",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864034619",
"telephone_number": "928-302-3140",
"fax_number": "928-302-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 LONDON BRIDGE RD STE F",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864034619",
"telephone_number": "928-302-3140",
"fax_number": "928-302-3140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL DURABLE MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-29",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "OWNR",
"authorized_official_telephone_number": "928-302-3140"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Alldurablemed@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "344 London Bridge Rd Ste F",
"city": "Lake Havasu City",
"state": "AZ",
"country_code": "US",
"postal_code": "864034619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.