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Medidex Llc
Prosthetic/Orthotic Supplier in Springfield, Missouri
NPI 1871591974

Medidex Llc is a Prosthetic/Orthotic Supplier based in Plymouth Meeting, MO. Medidex Llc practices in Springfield, MO. The NPI Number for Medidex Llc is 1871591974 and holds a License No. 11714034 (Missouri).

The current practice location address for Medidex Llc is 1711 E Sunshine St, Springfield, MO and can be reached out via phone at 417-883-1400 and via fax at 417-883-2663.

Location: 1711 E Sunshine St, Springfield, MO, 19462-1437
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871591974
Provider Name
Medidex Llc
Credential
Provider Entity Type
Organization
Address
1711 E Sunshine St, Springfield, MO, 19462-1437
Phone Number
417-883-1400
Fax Number
417-883-2663
Provider Enumeration Date
07/12/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
621674308 05 MO
institution
Provider Business Practice Location Address Details
Address
1711 E Sunshine St
City
Springfield
State
Missouri
Zip
65804-1322
Phone Number
417-883-1400
Fax Number
417-883-2663
person
Provider Business Mailing Address Details
Address
1711 E Sunshine St
City
Springfield
State
Missouri
Zip
65804-1322
Phone Number
417-883-1400
Fax Number
417-883-2663
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
11714034 (Missouri)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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