Organization
MEDIREST, INC.
Active
Organization
MEDIREST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES D FALLON (PRESIDENT)
(205) 942-1616
Entity
Organization
Contact information
Practice address
104 OXMOOR RD STE 134, BIRMINGHAM, AL 35209
(205) 942-1616
(205) 942-1008
Mailing address
104 OXMOOR RD STE 134, BIRMINGHAM, AL 35209-5937
(205) 942-1616
(205) 942-1008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
128
AL
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
128
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
128
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
128
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033911
—
AL
Enumeration date
07/01/2005
Last updated
01/22/2026
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