Medical Supply Outlet, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

44751 Issued in CA

Legal business name

MEDICAL SUPPLY OUTLET, INC.

Practice address

105 E 64TH PL
Inglewood, CA 90302-1338

Phone

(310) 671-3522

Fax

(310) 671-3622

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Geneane Haley

Title

President

Phone

(310) 671-3522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1356520191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 64TH PL",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021338",
            "telephone_number": "310-671-3522",
            "fax_number": "310-671-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 64TH PL",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021338",
            "telephone_number": "310-671-3522",
            "fax_number": "310-671-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY OUTLET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "GENEANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-671-3522"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Inglewood, CA
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.