NPIMap

Organization Active NPI

Stateserv Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
National Provider Identifier
1376739458
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STATESERV MEDICAL, LLC
Practice address
6800 North Carmino Martin
Suite 106 & 112
Tucson, AZ 85741
Phone
(480) 797-8061
Fax
(866) 280-0415
NPI assigned
Sep 21, 2007
Organization subpart
Yes
Parent organization
THE STATESERV COMPANIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Christopher Roode
Title
Coo
Phone
(877) 633-7250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

6800 North Carmino Martin
Suite 106 & 112
Tucson, AZ 85741

Mailing address

1201 S. Alma School Road
Suite 4000
Mesa, AZ 85210
Phone (877) 797-8061

Other names 1

  • StateServ Medical LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Stateserv Medical LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

2130 E University Dr
Tempe, AZ 85288
Phone (480) 966-9730

4001 S Contractors Way
Ste 161
Tucson, AZ 85714

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1376739458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S. ALMA SCHOOL ROAD",
            "address_2": "SUITE 4000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "877-797-8061",
            "fax_number": "336-227-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NORTH CARMINO MARTIN",
            "address_2": "SUITE 106 & 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "480-797-8061",
            "fax_number": "866-280-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV MEDICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE STATESERV COMPANIES LLC",
        "enumeration_date": "2007-09-21",
        "last_updated": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "ROODE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-633-7250"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StateServ Medical LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "StateServ Medical LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.