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A1 Diabetes & Medical Supply, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Memphis, TN

NPI 1992799787 · NPPES record last updated Sep 16, 2014

Key facts

NPI
1992799787
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
A1 DIABETES & MEDICAL SUPPLY, INC.
Practice address
1785 Nonconnah Blvd
Suite 110
Memphis, TN 38132-2104
Phone
(800) 316-7955
Fax
(888) 491-3050
NPI assigned
Sep 7, 2005
Organization subpart
No

Authorized official

Name
Mr. John Pereira
Title
Ceo
Phone
(321) 325-6047

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

National Provider Directory

Locations

508 N Harbor City Blvd
Melbourne, FL 32935
Phone (321) 255-9800

1785 Nonconnah Blvd
Ste 110
Memphis, TN 38132
Phone (800) 316-7955

1785 Nonconnah Blvd
Ste 107B
Memphis, TN 38132
Phone (800) 316-7955

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

1785 Nonconnah Blvd
Suite 110
Memphis, TN 38132-2104

Mailing address

1785 Nonconnah Blvd
Suite 110
Memphis, TN 38132-2104
Phone (800) 316-7955

Other identifiers

IdentifierTypeStateIssuer
R9284OtherFLBLUE CROSS BLUE SHIELD

Other names

  • Lake Diabetes & Medical Supply, Inc. Former legal business name

Other providers in Memphis, TN

All providers in Memphis, TN · Durable Medical Equipment & Medical Supplies in Tennessee

Sources for this page

Verify at the official NPI Registry.