1376559690 NPI number — MCI MEDICAL EQUIPMENT,CORP.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376559690 NPI number — MCI MEDICAL EQUIPMENT,CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MCI MEDICAL EQUIPMENT,CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MCI MEDICAL EQUIPMENT,CORP.
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376559690
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2500 NW 79TH AVE
Provider Second Line Business Mailing Address:
SUITE 297
Provider Business Mailing Address City Name:
DORAL
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33122-1073
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-718-9808
Provider Business Mailing Address Fax Number:
305-718-9868

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 NW 79TH AVE
Provider Second Line Business Practice Location Address:
SUITE 297
Provider Business Practice Location Address City Name:
DORAL
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33122-1073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-718-9808
Provider Business Practice Location Address Fax Number:
305-718-9868
Provider Enumeration Date:
07/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CHONG
Authorized Official First Name:
IVETTE
Authorized Official Middle Name:
MARIA
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-718-9808

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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