Organization
MEDNOVA MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAIDER ALI (OWNER)
(347) 557-9857
Entity
Organization
Contact information
Practice address
3904 BLOCK DR APT 247, IRVING, TX 75038-7650
(347) 557-9857
Mailing address
1201 AVENUE K APT 2I, BROOKLYN, NY 11230-4232
(347) 557-9857
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
08/28/2025
Last updated
01/07/2026
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