Idimo Medical Supply

LBN: Idimo Medical Supply
Idimo Medical Supply is an health care organization with primary practice located at 151 Silver Lake Rd Nw Suite 1B, New Brighton MN 55112-3162. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Idimo Medical Supply can be contacted via phone (651) 639-1400, or through Etuko, Stephen Idem via phone (651) 639-1400.

Contact Information

Primary practice address
151 Silver Lake Rd Nw Suite 1B New Brighton MN 55112-3162
Phone: (651) 639-1400
Fax: (651) 639-1401
Website:
Map and Directions
Authorized official contact:
Name: Etuko, Stephen Idem
Phone: (651) 639-1400

Health care specialties

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

Profile Details

NPI number 1790714566
LBN Legal business name Idimo Medical Supply
DBA Doing business as
Authorized official Etuko, Stephen Idem
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Aug 22nd, 2020 - about 5 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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