Organization
MEDSOURCE EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REYNALDO MARTINEZ (OWNER)
(423) 262-8327
Entity
Organization
Contact information
Practice address
3201 BRISTOL HWY, SUITE 4, JOHNSON CITY, TN 37601-1565
(423) 262-8327
(423) 262-8329
Mailing address
PO BOX 8816, GRAY, TN 37615-0816
(423) 262-8327
(423) 262-8329
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
0017898
TN
335E00000X
Prosthetic/Orthotic Supplier
Primary
0017898
TN
Other
Enumeration date
05/03/2008
Last updated
05/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us