Organization Active NPI

Triage Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Peoria, AZ
National Provider Identifier
1326552977
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRIAGE MEDICAL SUPPLY LLC
Practice address
10434 W Redbird Rd
Peoria, AZ 85383-3578
Phone
(623) 521-9113
NPI assigned
Nov 17, 2017
Last updated
Nov 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
Zak Coronado
Title
Owner
Phone
(623) 521-9113

Specialties & licenses 1

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

Addresses

Primary practice location

10434 W Redbird Rd
Peoria, AZ 85383-3578

Mailing address

10434 W Redbird Rd
Peoria, AZ 85383-3578
Phone (623) 521-9113

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1326552977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10434 W REDBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833578",
            "telephone_number": "623-521-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10434 W REDBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833578",
            "telephone_number": "623-521-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAGE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "CORONADO",
        "authorized_official_first_name": "ZAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-521-9113"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.