Organization
ARIZONA MEDSOURCE HOLDINGS LLC
Active
Other names
H&L Medical
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE KEENE (OWNER)
(480) 292-8496
Entity
Organization
Contact information
Practice address
8260 E RAINTREE DR STE 202, SCOTTSDALE, AZ 85260-2516
(480) 292-8496
(866) 561-8331
Mailing address
14747 N NORTHSIGHT BLVD STE 111 PMB 328, SSOTTSDALE, AZ 85260
(480) 292-8496
(866) 561-8331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
07502892T
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AZ
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324541
—
AZ
Enumeration date
05/31/2005
Last updated
09/06/2019
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