Organization
MI-MED SUPPLY CO., INC.
Active
Other names
Experea Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY M VESTAL (PRESIDENT AND DIRECTOR)
(866) 897-8588
Entity
Organization
Contact information
Practice address
222 W MISSION AVE STE 125, SPOKANE, WA 99201-2341
(509) 725-7008
(866) 397-3731
Mailing address
PO BOX 674553, DETROIT, MI 48267-4553
(866) 397-3731
(772) 212-4904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
603243565
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467532234
—
ID
05
—
1752666
—
AK
05
—
2047655
—
WA
Enumeration date
10/16/2006
Last updated
02/17/2026
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