Stateserv Medical of Phoenix LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

471068038 Issued in AZ

Legal business name

STATESERV MEDICAL OF PHOENIX LLC

Practice address

220 E. Germann Rd
Suite 110
Gilbert, AZ 85297

Phone

(877) 633-7250

Fax

(623) 777-4595

NPI assigned

Apr 7, 2016

Organization subpart

No

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

Authorized official

Name

Christopher Roode

Title

Coo

Phone

(877) 633-7250

Specialties & licenses 1

Addresses

Tax ID family

Stateserv Medical of Phoenix LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stateserv Medical of Phoenix LLC

  • Durable Medical Equipment & Medical Supplies
  • Glendale, AZ
  • NPI 1164051900
  NPD tax ID

Locations

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1952765844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SOUTH ALMA SCHOOL RD",
            "address_2": "SUITE 4000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "623-777-4599",
            "fax_number": "623-777-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E. GERMANN RD",
            "address_2": "SUITE 110",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "877-633-7250",
            "fax_number": "623-777-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV MEDICAL OF PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "ROODE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-633-7250"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "471068038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Sky Stansberry, RBT
• Natalie Staples, MA, LAC
• Fonica Stapleton
• Rebecca Stapley
• Autumn Staszak
• Katy Melissa Statler, DPM
• Lawna Staven, PHARMD
• Stay Mobile LLC
• Erin Sue Steck, LAC #21427
• Jaeger Steckler, PT

• Durable Medical Equipment & Medical Supplies in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.