# MEDISUPPLIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MediMobile Xray
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225892995
- **Authorized official:** MOE TAMARY (PRESIDENT)
- **Authorized official phone:** (562) 310-5053

## Contact information

- **Practice address:** 1830 S SANTA FE ST STE B, SANTA ANA, CA 92705-4823
- **Practice address phone:** (562) 310-5053
- **Mailing address:** 7927 GARDEN GROVE BLVD \# 400, GARDEN GROVE, CA 92841-4225
- **Mailing address phone:** (562) 310-5053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2024
- **Last updated:** 02/28/2024