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Life Source Medical, Inc.
Durable Medical Equipment & Medical Supplies in Greensboro, North Carolina
NPI 1083804785

Life Source Medical, Inc. is a Durable Medical Equipment & Medical Supplies based in Greensboro, NC. Life Source Medical, Inc. practices in Greensboro, NC. The NPI Number for Life Source Medical, Inc. is 1083804785 and holds a License No. (North Carolina).

The current practice location address for Life Source Medical, Inc. is 377 S Swing Rd, Greensboro, NC and can be reached out via phone at 336-316-1166 and via fax at 336-316-1144.

Location: 377 S Swing Rd, Greensboro, NC, 27409-2009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083804785
Provider Name
Life Source Medical, Inc.
Credential
Provider Entity Type
Organization
Address
377 S Swing Rd, Greensboro, NC, 27409-2009
Phone Number
336-316-1166
Fax Number
336-316-1144
Provider Enumeration Date
07/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7704697 05 NC
institution
Provider Business Practice Location Address Details
Address
377 S Swing Rd
City
Greensboro
State
North Carolina
Zip
27409-2009
Phone Number
336-316-1166
Fax Number
336-316-1144
person
Provider Business Mailing Address Details
Address
377 S Swing Rd
City
Greensboro
State
North Carolina
Zip
27409-2009
Phone Number
336-316-1166
Fax Number
336-316-1144
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(North Carolina)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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