Prime Source Medical Services, Inc

LBN: Prime Source Medical Services, Inc
Prime Source Medical Services, Inc is an health care organization with primary practice located at 2715 Mackey Pl Ste 116 , Shreveport LA 71118-2528. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Prime Source Medical Services, Inc can be contacted via phone (318) 687-6776, or through Irondi, Jade U via phone (318) 687-6776.

Contact Information

Primary practice address
2715 Mackey Pl Ste 116 Shreveport LA 71118-2528
Phone: (318) 687-6776
Fax: (318) 687-6996
Website:
Map and Directions
Authorized official contact:
Name: Irondi, Jade U
Phone: (318) 687-6776

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 00213555 Louisiana
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1902070964
LBN Legal business name Prime Source Medical Services, Inc
DBA Doing business as
Authorized official Irondi, Jade U
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2008
Last updated Apr 21st, 2008 - about 18 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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