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Organization

DJO, LLC

Active
Parent organization
DJO, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DJO, LLC
Authorized official
MR. ANDRES MORENO III (PRESIDENT)
(800) 321-9549
Entity
Organization

Contact information

Practice address
5617 HIGHWAY 153 STE 204, HIXSON, TN 37343-4677
(423) 419-5155
Mailing address
2900 LAKE VISTA DR STE 200, LEWISVILLE, TX 75067-3889
(704) 749-6291
(704) 831-8300

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)
335E00000X
Prosthetic/Orthotic Supplier

Other

Enumeration date
01/15/2024
Last updated
12/05/2025
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