Organization
DIABETIC SUPPLY INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOSEPH MINI (PRESIDENT)
(800) 780-7081
Entity
Organization
Contact information
Practice address
20905 TORRENCE CHAPEL RD, SUITE 203B, CORNELIUS, NC 28031-4300
(800) 780-7081
Mailing address
20905 TORRENCE CHAPEL ROAD, SUITE 203B, CORNELIUS, NC 28031
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703102
—
NC
05
—
DE1096
—
SC
Enumeration date
08/23/2005
Last updated
11/29/2007
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