Organization
ELITE MEDICAL EQUIPMENT AND SUPPLIES, L.L.C.
Active
Organization
ELITE MEDICAL EQUIPMENT AND SUPPLIES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD JAMES REMALY (OWNER)
(816) 468-1041
Entity
Organization
Contact information
Practice address
407 NE 76TH TER, GLADSTONE, MO 64118-1708
(816) 468-1041
(816) 468-1583
Mailing address
407 NE 76TH TER, GLADSTONE, MO 64118-1708
(816) 468-1041
(816) 468-1583
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1175709
USA MANAGED CARE ORGANIZATION
MO
01
—
47725017
BLUE CROSS BLUE SHIELD KC
MO
05
—
620001331
—
MO
Enumeration date
12/05/2011
Last updated
02/07/2013
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