Midtown Investments LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

025-39706-8 Issued in MS

Legal business name

MIDTOWN INVESTMENTS LLC

Doing business as

Custom Medical Solutions

Practice address

3023 Hwy 80 E
Suite a
Pearl, MS 39208-3428

Phone

(601) 932-1131

Fax

(601) 932-1993

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jason R Richardson

Title

President

Phone

(601) 842-7380

Specialties & licenses 1

Addresses

Other names 1

• Custom Medical Solutions Doing business as

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1194830182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIRCLE",
            "address_2": "SUITE 410",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281507",
            "telephone_number": "763-535-0118",
            "fax_number": "763-536-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HWY 80 E",
            "address_2": "SUITE A",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392083428",
            "telephone_number": "601-932-1131",
            "fax_number": "601-932-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-842-7380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "025-39706-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Pearl, MS
• Providers in Pearl, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.