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Organization

MEDI-LAB MEDICAL EQUIPMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA PEREZ (OWNER)
(956) 360-7889
Entity
Organization

Contact information

Practice address
4301 N 22ND ST STE A, MCALLEN, TX 78504-0035
(956) 800-5008
(956) 800-5311
Mailing address
4301 N 22ND ST STE A, MCALLEN, TX 78504-0035
(956) 800-5008
(956) 800-5311

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1001502
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1104334192
NPI
TX
Enumeration date
02/16/2018
Last updated
07/25/2019
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