institution
Prime Source Medical Services, Inc
Durable Medical Equipment & Medical Supplies in Shreveport, Louisiana
NPI 1902070964

Prime Source Medical Services, Inc is a Durable Medical Equipment & Medical Supplies based in Shreveport, LA. Prime Source Medical Services, Inc practices in Shreveport, LA. The NPI Number for Prime Source Medical Services, Inc is 1902070964 and holds a License No. 00213555 (Louisiana).

The current practice location address for Prime Source Medical Services, Inc is 2715 Mackey Pl Ste 116, Shreveport, LA and can be reached out via phone at 318-687-6776 and via fax at 318-687-6996.

Location: 2715 Mackey Pl Ste 116, Shreveport, LA, 71118-2528
institution
Provider Profile Details
NPI Number
1902070964
Provider Name
Prime Source Medical Services, Inc
Credential
Provider Entity Type
Organization
Address
2715 Mackey Pl Ste 116, Shreveport, LA, 71118-2528
Phone Number
318-687-6776
Fax Number
318-687-6996
Provider Enumeration Date
04/21/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
2715 Mackey Pl Ste 116
City
State
Zip
71118-2528
Phone Number
318-687-6776
Fax Number
318-687-6996
person
Provider Business Mailing Address Details
Address
2715 Mackey Pl Ste 116
City
State
Zip
71118-2528
Phone Number
318-687-6776
Fax Number
318-687-6996
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
00213555 (Louisiana)
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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