LV Medical Supply Service Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LV MEDICAL SUPPLY SERVICE INC

Practice address

3201 N 16TH St
Ste 12
Phoenix, AZ 85016-7160

Phone

(602) 279-2008

Fax

(602) 445-9125

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Graciela Velderrain

Title

President

Phone

(602) 279-2008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1407025026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 N 16TH ST",
            "address_2": "STE 12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167160",
            "telephone_number": "602-279-2008",
            "fax_number": "480-445-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 N 16TH ST",
            "address_2": "STE 12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167160",
            "telephone_number": "602-279-2008",
            "fax_number": "602-445-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV MEDICAL SUPPLY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "VELDERRAIN",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-279-2008"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.