Organization
DSI MIDWEST ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN L WARREN (MANAGING MEMBER)
(314) 291-2900
Entity
Organization
Contact information
Practice address
13410 LAKEFRONT DRIVE, EARTH CITY, MO 63045
(314) 255-1633
(314) 255-1632
Mailing address
13410 LAKEFRONT DR, EARTH CITY, MO 63045-1516
(314) 255-1633
(314) 255-1632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
FL0528113
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623962107
—
MO
05
—
6286401
—
IL
05
—
7586699201
—
KS
Enumeration date
08/09/2005
Last updated
09/02/2011
Update your record
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