Active NPI
Mir-Medical International Research USA, Inc
- Durable Medical Equipment & Medical Supplies
- New Berlin, WI
National Provider Identifier
1780330357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MIR-MEDICAL INTERNATIONAL RESEARCH USA, INC
- Practice address
- 5462 S Westridge Dr
New Berlin, WI 53151-7948 - Phone
- (844) 464-7872
- NPI assigned
- Feb 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale Novy
- Title
- National Director of Sales
- Phone
- (614) 202-4388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5462 S Westridge Dr
New Berlin, WI 53151-7948
Mailing address
5462 S Westridge Dr
New Berlin, WI 53151-7948
Phone (844) 464-7872
National Provider Directory
National Provider DirectoryLocations
5462 S Westridge Dr
New Berlin, WI 53151
Phone (844) 464-7872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645574400000",
"number": "1780330357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5462 S WESTRIDGE DR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517948",
"telephone_number": "844-464-7872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5462 S WESTRIDGE DR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517948",
"telephone_number": "844-464-7872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIR-MEDICAL INTERNATIONAL RESEARCH USA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A",
"authorized_official_last_name": "NOVY",
"authorized_official_first_name": "DALE",
"authorized_official_title_or_position": "NATIONAL DIRECTOR OF SALES",
"authorized_official_telephone_number": "614-202-4388"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.