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
1390 DECISION ST STE B, VISTA, CA 92081-8578
(760) 734-6648
(760) 734-6637
Mailing address
PO BOX 674553, DETROIT, MI 48267-4553
(760) 734-6648
(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
—
1578678223
—
CA
05
—
1578678223
—
NV
05
—
1622191
—
AK
Enumeration date
08/21/2006
Last updated
02/17/2026
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