Active NPI
Medical Information Technology
- Durable Medical Equipment & Medical Supplies
- Chandler, AZ
National Provider Identifier
1205389442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDICAL INFORMATION TECHNOLOGY
- Doing business as
- Vein Supply
- Practice address
- 333 N Dobson Rd
Ste 5
Chandler, AZ 85224-4412 - Phone
- (480) 788-8652
- NPI assigned
- Jul 23, 2016
- 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
- Alex Kim
- Title
- Manager
- Phone
- (480) 788-8652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
333 N Dobson Rd
Ste 5
Chandler, AZ 85224-4412
Mailing address
333 N Dobson Rd
Ste 5
Chandler, AZ 85224-4412
Other names 1
- Vein Supply
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469232000000",
"number": "1205389442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N DOBSON RD",
"address_2": "STE 5",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N DOBSON RD",
"address_2": "STE 5",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852244412",
"telephone_number": "480-788-8652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL INFORMATION TECHNOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-23",
"last_updated": "2016-07-23",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "480-788-8652"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vein Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.