Organization
MIDTOWN INVESTMENTS LLC
Active
Other names
Custom Medical Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON R RICHARDSON (PRESIDENT)
(601) 842-7380
Entity
Organization
Contact information
Practice address
8601 73RD AVE N, SUITE 1, BROOKLYN PARK, MN 55428-1507
(763) 535-5906
(763) 535-5965
Mailing address
7100 NORTHLAND CIR N, SUITE 410, BROOKLYN PARK, MN 55428-1548
(763) 535-0118
(612) 294-3289
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066124400
—
MN
01
—
116212
HEALTH PARTNERS
MN
05
—
41756300
—
WI
01
—
4980432
MEDICA MSHO PRODUCTS
MN
01
—
610629200
US DEPT OF LABOR
MN
01
—
81G77CU
BCBS OF MN
MN
01
—
8290222
MEDICA COMMERCIAL PRODUCT
MN
Enumeration date
08/16/2006
Last updated
09/01/2021
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