Organization Active NPI

Medical Information Technology

  • Durable Medical Equipment & Medical Supplies
  • Chandler, AZ
National Provider Identifier
1205389442
Registry record updated Jul 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jul 23, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.