Qualimed Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUALIMED SUPPLY LLC

Practice address

12195 Highway 92
Ste 114-314
Woodstock, GA 30188-3602

Phone

(678) 428-9146

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Katu Mehta

Title

President

Phone

(678) 428-9146

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1497088280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12195 HIGHWAY 92",
            "address_2": "STE 114-314",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883602",
            "telephone_number": "678-428-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12195 HIGHWAY 92",
            "address_2": "STE 114-314",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883602",
            "telephone_number": "678-428-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIMED SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "KATU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-428-9146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Pugsley, LPC
• Kirk Alan Pusey, DC
• Courtney C. Putnam, PH.D., LPC, LMFT
• QRC 360 Enterprises
• Heather Calhoun Quaile, NP-C
• Quality Medical Management Services LLC
• Ofori Julius Quarcoo
• Brandi Quinn, ANP-BC
• Jamie Ailed Quinones-Borges, PA-C
• Alyssa Quinton, RBT

• All providers in Woodstock, GA
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.