Organization Active NPI

Mattress Fast LLC

  • Customized Equipment (DME)
  • East Point, GA
National Provider Identifier
1265946834
Registry record updated Nov 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MATTRESS FAST LLC
Practice address
3645 Marketplace Blvd
East Point, GA 30344-5747
Phone
(404) 849-1447
Fax
(404) 849-1447
NPI assigned
Nov 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2017

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

Authorized official

Name
Mark Wall
Title
Managing Partner
Phone
(404) 629-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

3645 Marketplace Blvd
East Point, GA 30344-5747

Mailing address

3645 Marketplace Blvd
East Point, GA 30344-5747

National Provider Directory

National Provider Directory

Locations

3645 Marketplace Blvd
East Point, GA 30344
Phone (301) 675-8648

NPI Registry JSON

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511049600000",
    "number": "1265946834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "404-849-1447",
            "fax_number": "404-849-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTRESS FAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2017-11-19",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "404-629-3278"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; 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.