Organization
DME LLC
Active
Other names
US MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
SID ILANGOVAN (OWNER/MEMBER)
(304) 222-3064
Entity
Organization
Contact information
Practice address
104 S EISENHOWER DR, BECKLEY, WV 25801-4930
(304) 255-0925
(304) 255-1005
Mailing address
104 S EISENHOWER DR, BECKLEY, WV 25801-4930
(304) 255-0925
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/06/2020
Last updated
03/02/2022
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