Organization
MI-MED SUPPLY CO., INC.
Active
Other names
Mi-Med Supply Co., Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY M VESTAL (PRESIDENT AND DIRECTOR)
(866) 897-8588
Entity
Organization
Contact information
Practice address
30 FAIRBANKS STE 115, IRVINE, CA 92618-1688
(949) 716-3071
(949) 716-3072
Mailing address
PO BOX 674553, DETROIT, MI 48267-4553
(949) 716-3071
(772) 212-4904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225076870
—
CA
05
—
250030604
—
NV
05
—
752148
—
HI
Enumeration date
06/04/2006
Last updated
02/17/2026
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