Organization
LIFE QUEST MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY JOSEPH SMOLIK (OWNER)
(216) 731-1250
Entity
Organization
Contact information
Practice address
24820 LAKELAND BLVD, EUCLID, OH 44132
(216) 731-1250
(216) 731-1298
Mailing address
24820 LAKELAND BLVD, EUCLID, OH 44132
(216) 731-1250
(216) 731-1298
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL11046
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09890003
—
OH
Enumeration date
01/08/2007
Last updated
07/21/2008
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