Si Medical Equipment Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SI MEDICAL EQUIPMENT SERVICES LLC

Practice address

320 Valentino Way
Grand Prairie, TX 75052-0025

Phone

(972) 900-3786

NPI assigned

Sep 27, 2024

Last updated

Oct 14, 2024By 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

Shazeen Farooqi

Title

Ceo

Phone

(972) 900-3786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1700604824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 VALENTINO WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 VALENTINO WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520025",
            "telephone_number": "972-900-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SI MEDICAL EQUIPMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "FAROOQI",
        "authorized_official_first_name": "SHAZEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-900-3786"
    },
    "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 Oct 14, 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.