Organization
VITALMEDIX SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNKNOWN MOHAMMED MOHIUDDIN AHMED (OWNER/MANAGER)
(872) 331-8174
Entity
Organization
Contact information
Practice address
10616 E 18TH ST S STE 402, INDEPENDENCE, MO 64052-2203
(872) 331-8174
Mailing address
10616 E 18TH ST S STE 402, INDEPENDENCE, MO 64052-2203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
04/22/2025
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