Medquip LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDQUIP LLC

Practice address

1347 Fairview TRL
Lawrenceville, GA 30043-4218

Phone

(770) 617-4426

Fax

(470) 539-8072

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Laura Irina Roman

Title

Owner

Phone

(770) 617-4426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1457095143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 FAIRVIEW TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434218",
            "telephone_number": "770-617-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 FAIRVIEW TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434218",
            "telephone_number": "770-617-4426",
            "fax_number": "470-539-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDQUIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-617-4426"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.