Organization
INTERNATIONAL MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN O. MADOJEMU (CEO)
(757) 292-5500
Entity
Organization
Contact information
Practice address
3100 LONDON BLVED #1, PORTSMOUTH, VA 23707-3234
(757) 295-5500
(757) 295-0480
Mailing address
3100 LONDON BLVED #1, PORTSMOUTH, VA 23707-3234
(757) 295-5500
(757) 295-0480
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
332S00000X
Hearing Aid Equipment
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
06/26/2007
Last updated
05/07/2008
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