Lake Diabetes & Medical Supply, Inc.

LBN: A1 Diabetes & Medical Supply, Inc.
Lake Diabetes & Medical Supply, Inc. is an health care organization with primary practice located at 1785 Nonconnah Blvd Suite 110, Memphis TN 38132-2104. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. A1 Diabetes & Medical Supply, Inc. can be contacted via phone (800) 316-7955, or through Pereira, John via phone (321) 325-6047.

Contact Information

Primary practice address
1785 Nonconnah Blvd Suite 110 Memphis TN 38132-2104
Fax: (888) 491-3050
Website:
Authorized official contact:
Name: Pereira, John

Health care specialties

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

Profile Details

NPI number 1992799787
LBN Legal business name A1 Diabetes & Medical Supply, Inc.
DBA Doing business as Lake Diabetes & Medical Supply, Inc.
Authorized official Pereira, John
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Sep 16th, 2014 - about 10 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 1992799787 NPPES
Florida Other R9284 BLUE CROSS BLUE SHIELD

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