Organization Active NPI

Mid City DME Inc

  • Durable Medical Equipment & Medical Supplies
  • Laurel, MS
National Provider Identifier
1255567228
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
246615001 Issued in LA
Legal business name
MID CITY DME INC
Practice address
316 Central Ave Ste B
Laurel, MS 39440-3916
Phone
(601) 425-3048
Fax
(601) 425-3048
NPI assigned
Jun 4, 2009
Last updated
Jun 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Eleanor Collins
Title
Owner
Phone
(601) 425-3047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 246615001 LA Primary

Addresses

Primary practice location

316 Central Ave Ste B
Laurel, MS 39440-3916

Mailing address

316 Central Ave Ste B
Laurel, MS 39440-3916
Phone (601) 425-3047

National Provider Directory

National Provider Directory
Tax ID family
Mid City DME Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

316 Central Ave
Ste B
Laurel, MS 39440
Phone (601) 425-3047

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1255567228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 CENTRAL AVE STE B",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403916",
            "telephone_number": "601-425-3047",
            "fax_number": "601-425-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CENTRAL AVE STE B",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403916",
            "telephone_number": "601-425-3048",
            "fax_number": "601-425-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID CITY DME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-425-3047"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "246615001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.