<Unavail>

LBN: Medidex Llc
<Unavail> is an health care organization with primary practice located at 1711 E Sunshine St , Springfield MO 65804-1322. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Medidex Llc can be contacted via phone (417) 883-1400, or through Russalesi, Wendy via phone (484) 246-9499.

Contact Information

Primary practice address
1711 E Sunshine St Springfield MO 65804-1322
Phone: (417) 883-1400
Fax: (417) 883-2663
Website:
Map and Directions
Authorized official contact:
Name: Russalesi, Wendy
Phone: (484) 246-9499

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 11714034 Missouri
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1871591974
LBN Legal business name Medidex Llc
DBA Doing business as <Unavail>
Authorized official Russalesi, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Oct 15th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871591974 NPPES
Missouri MEDICAID 621674308

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