Organization
MED-TEK SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY H. DELOACH (OWNER)
(901) 861-4525
Entity
Organization
Contact information
Practice address
432 HIGHWAY 72, SUITE 3B, COLLIERVILLE, TN 38017-2808
(901) 861-4525
(901) 861-3193
Mailing address
PO BOX 1001, COLLIERVILLE, TN 38027-1001
(901) 861-4525
(901) 861-3193
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000000494
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002008218
BLUECROSS/BLUESHIELD
TN
05
—
00440010
—
MS
05
—
122481716
—
AR
05
—
3562516
—
TN
Enumeration date
03/17/2006
Last updated
12/15/2011
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