Organization
MLS 1116 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY BLAKEMAN JR. (OWNER MANAGER)
(270) 634-0534
Entity
Organization
Contact information
Practice address
702 COLUMBIA HWY, GREENSBURG, KY 42743-1118
(270) 973-5276
(270) 973-5267
Mailing address
702 COLUMBIA HWY, GREENSBURG, KY 42743-1118
(270) 973-5276
(270) 973-5267
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90004037
—
KY
Enumeration date
07/03/2006
Last updated
08/02/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up