Organization
MEDIQUEST INC
Active
Parent organization
MEDIQUEST INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDIQUEST INC.
Authorized official
MR. MAILAN OLIQUINO PINEDA (MEDICAL IT ADMINISTRATOR)
(479) 750-7463
Entity
Organization
Contact information
Practice address
1204 SE 28TH ST, SUITE 12, BENTONVILLE, AR 72712-3881
(479) 464-8833
(479) 750-7462
Mailing address
1204 SE 28TH ST, SUITE 12, BENTONVILLE, AR 72712-3881
(479) 464-8833
(479) 750-7462
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145876716
—
AR
01
—
4136500001
MEDICARE PTAN
AR
Enumeration date
08/27/2010
Last updated
07/21/2022
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