Organization Active NPI

Lamborghini Technologies

Doing business as Memorial Village Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1144492539
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LAMBORGHINI TECHNOLOGIES
Doing business as
Memorial Village Medical Supply
Practice address
2870 Gessner Rd. Suite A3
Houston, TX 77080
Phone
(713) 996-9300
Fax
(713) 996-9300
NPI assigned
Mar 26, 2008
Organization subpart
Yes
Parent organization
LAMBORGHINI TECHNOLOGIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mr. Alphonse Mutsindashyaka, ENGINEER
Title
Ceo/President
Phone
(713) 996-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2870 Gessner Rd. Suite A3
Houston, TX 77080

Mailing address

2870 Gessner Rd. Suite A3
Houston, TX 77080
Phone (713) 996-9300

Other names 1

  • MEMORIAL VILLAGE MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

2870 Gessner Rd
Ste A3
Houston, TX 77080
Phone (713) 996-9300

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1144492539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 GESSNER RD. SUITE A3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77080",
            "telephone_number": "713-996-9300",
            "fax_number": "713-996-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 GESSNER RD. SUITE A3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77080",
            "telephone_number": "713-996-9300",
            "fax_number": "713-996-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMBORGHINI TECHNOLOGIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAMBORGHINI TECHNOLOGIES",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "MUTSINDASHYAKA",
        "authorized_official_first_name": "ALPHONSE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "713-996-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ENGINEER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEMORIAL VILLAGE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.