Organization
MEDEQUIP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOREN LIND (PRESIDENT)
(949) 443-4418
Entity
Organization
Contact information
Practice address
4356 E RENEE DR, PHOENIX, AZ 85050-4307
(949) 443-4414
Mailing address
27 BROOKLINE, ALISO VIEJO, CA 92656-1461
(949) 443-4418
(949) 487-4768
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C001438
AZ BOARD OF PHARMACY
AZ
Enumeration date
02/05/2019
Last updated
02/05/2019
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