Organization
MED1 MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ROBERTS DHA (OWNER)
(317) 922-6407
Entity
Organization
Contact information
Practice address
18993 STONEBLUFF LN, NOBLESVILLE, IN 46062-6154
(317) 922-6407
Mailing address
18993 STONEBLUFF LN, NOBLESVILLE, IN 46062-6154
(317) 922-6407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039525
—
IN
Enumeration date
11/10/2023
Last updated
11/10/2023
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