Medsource Llc

LBN: Medsource Llc
Medsource Llc is an health care organization with primary practice located at 5300 S 108Th St Ste 19 , Hales Corners WI 53130-1368. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Medsource Llc can be contacted via phone (262) 446-4850, or through Rohde, Eric via phone (309) 664-7930.

Contact Information

Primary practice address
5300 S 108Th St Ste 19 Hales Corners WI 53130-1368
Phone: (262) 446-4850
Fax: (262) 446-4851
Website:
Map and Directions
Authorized official contact:
Name: Rohde, Eric
Phone: (309) 664-7930

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 203.001082 Illinois

Profile Details

NPI number 1275847725
LBN Legal business name Medsource Llc
DBA Doing business as
Authorized official Rohde, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2010
Last updated Nov 30th, 2020 - about 6 years ago

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 1275847725 NPPES
Illinois Other 203.001082 LICENSE

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