# LAI MEDICAL SUPPLIES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467402396
- **Authorized official:** MRS. ADELINE FERNANDEZ (PRESIDENT)
- **Authorized official phone:** (305) 362-2005

## Contact information

- **Practice address:** 2314 W 80TH ST, 4, HIALEAH, FL 33016-5590
- **Practice address phone:** (305) 362-2005
- **Mailing address:** 2314 W 80TH ST, 4, HIALEAH, FL 33016-5590
- **Mailing address phone:** (305) 362-2005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020