Midwest Med Supply Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MIDWEST MED SUPPLY INC

Practice address

6224 N Pulaski Rd
Chicago, IL 60646-5114

Phone

(224) 770-0889

NPI assigned

Jan 5, 2022

Organization subpart

No

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

Authorized official

Name

Vijay Kumar Verma

Title

President

Phone

(224) 770-0889

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687564800000",
    "number": "1902567530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465114",
            "telephone_number": "224-770-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MED SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "VIJAY KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-770-0889"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Health Center, LLC
• Midwest Healthplus LTD
• Midwest Home Health Agency, Inc.
• Midwest Imaging Professionals, LLC
• Midwest Lab LLC
• Midwest Medconnect Inc
• Midwest Medical Services Inc
• Midwest Medical Services Inc
• Midwest Medical Supplies & Equipment LLC
• Midwest Medical Supply & Equipment, Inc.

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2023; 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.