Easylife Medical Group LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2007020341 Issued in GA

Legal business name

EASYLIFE MEDICAL GROUP LLC

Practice address

3395 Lawrenceville Hwy
Ste B
Lawrenceville, GA 30044-6408

Phone

(240) 476-9584

NPI assigned

Jun 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nwafor Gerald Obiorah, DME

Title

Agent

Phone

(240) 476-9584

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1679777007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 LAWRENCEVILLE HWY",
            "address_2": "STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446408",
            "telephone_number": "240-476-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3395 LAWRENCEVILLE HWY",
            "address_2": "STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446408",
            "telephone_number": "240-476-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASYLIFE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "OBIORAH",
        "authorized_official_first_name": "NWAFOR",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "240-476-9584",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DME"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "2007020341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.