MEDSOURCE LLC (NPI# 1669795415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669795415 |
| Entity Type | Organization |
| Organization Name | MEDSOURCE LLC |
| Practice Address |
25835 Narbonne Ave Suite 280d Lomita CA 90717-3074 |
| Mailing Address |
Po Box 1248 Bloomington IL 61702-1248 |
| Practice Telephone | 8885105100 |
| Mailing Telephone | 3096647930 |
| Mailing Fax Number | 3096647931 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2012-06-27 |
| Authorized Official Name | MR. ERIC ROHDE (OWNER) |
| Authorized Official Telephone | 3096647930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203.000461 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 203.000461 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922264159 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 2301 W 1st St, Ste 5, Ankeny, IA 50023-2470 | 2008-08-07 |
| 1376743922 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 8005 Main St Ste 17, Dexter, MI 48130-1027 | 2007-07-23 |
| 1942389127 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 650 N Girls School Rd Ste C35, Indianapolis, IN 46214-3660 | 2006-11-06 |
| 1275847725 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 414 W Moreland Blvd, Suite 108, Waukesha, WI 53188-2441 | 2010-07-27 |
| 1134442361 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 8600 W 95th St, Suite 100a, Overland Park, KS 66212 | 2010-03-02 |
| 1730354531 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 700 N Sacramento Blvd, Ste 120, Chicago, IL 60612 | 2008-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MEDSOURCE LLC | 3002 Gill St, Bloomington, IL 61704 |
| Virginia Business Entities | MEDSOURCE LLC | 152 Ridings Cove, Williamsburg, Virginia 23185 |
| Street Address |
25835 NARBONNE AVE SUITE 280D |
| City | LOMITA |
| State | CA |
| Zip Code | 90717-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093875395 | United Healthcare Distributors | Durable Medical Equipment & Medical Supplies | 25835 Narbonne Ave, Suite 140, Lomita, CA 90717-3074 | 2006-12-10 |
| 1013242601 | M & B Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 25835 Narbonne Ave, Ste 280b, Lomita, CA 90717-3074 | 2009-10-15 |
| 1770724494 | Mary E.forever Care,incorporated | In Home Supportive Care | 25835 Narbonne Ave, Suite-280e, Lomita, CA 90717-3074 | 2009-03-09 |
| 1003069618 | Rami Medical Dental Supply | Durable Medical Equipment & Medical Supplies | 25835 Narbonne Ave, Suite 200 F, Lomita, CA 90717-3074 | 2008-10-28 |
| 1720104797 | Liyen L Sun | Dentist | 25835 Narbonne Ave, Ste. 265, Lomita, CA 90717-3074 | 2007-03-22 |
| 1275685232 | Mary Akor Beasley | Durable Medical Equipment & Medical Supplies | 25835 Narbonne Ave, Suite 150, Lomita, CA 90717-3074 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336705 | Access To Rehab Corp. | Rehabilitation Practitioner | 24846 Narbonne Avenue, Lomita, CA 90717 | 2020-01-30 |
| 1407403587 | Roneilio San Diego Garcia | Technician | 2104 W. 242nd Street, Lomita, CA 90717 | 2019-08-22 |
| 1528614336 | Joann M Smith | Technician | 25111 Ebony Liv, Lomita, CA 90717 | 2019-08-16 |
| 1598276313 | Integrative Health Clinic | Chiropractor | 24846 Narbonne Ave, Lomita, CA 90717 | 2017-10-19 |
| 1497140511 | Red Sun Therapeutics, Inc. | Acupuncturist | 2244 Pacific Coast Hwy, Suite #107, Lomita, CA 90717 | 2015-04-06 |
| 1982914222 | Salomeh Tehrani | Dentist | 26015 Narbonne Ave, Apt 20, Lomita, CA 90717 | 2010-10-20 |
| 1124162151 | Susan J Kaspian | Optometrist | 1735 Pacific Coast Hwy, Lomita, CA 90717 | 2007-02-15 |
| 1114022365 | World Market Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2049 Pacific Coast Highway, Ste 103, Lomita, CA 90717 | 2006-09-13 |
| 1215047303 | Leo Jireh Cioco Abelita | Dentist | 1809 1/2 West Lomita Boulevard, Lomita, CA 90717 | 2006-08-30 |
| 1780690966 | Susan Renee Moreau | Chiropractor | 2383 Lomita Blvd, #115, Lomita, CA 90717 | 2006-07-31 |
| Find all providers in zip 90717 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083269518 | Riley Med Solutions LLC | Durable Medical Equipment & Medical Supplies | 1801 Pacific Coast Hwy Ste A, Lomita, CA 90717-2758 | 2019-08-01 |
| 1881136034 | Meditopia Technologies | Durable Medical Equipment & Medical Supplies | 25835 Narbonne Ave Ste 205, Lomita, CA 90717-7204 | 2016-11-04 |
| 1851745194 | Majestic Durable Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 25616 Narbonne Ave Ste 202, Lomita, CA 90717-2535 | 2016-04-22 |
| 1649637661 | Majestic Durable Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 2017 Lomita Blvd, Suite 107, Lomita, CA 90717-1701 | 2016-01-21 |
| 1740674571 | Carlos Duran Jr. | Durable Medical Equipment & Medical Supplies | 25403 Feijoa Ave, Lomita, CA 90717-2116 | 2015-03-18 |
| 1609053016 | Florence Ezeaku-olie | Durable Medical Equipment & Medical Supplies | 24017 Narbonne Ave, Suite J, Lomita, CA 90717-1166 | 2008-01-28 |
| 1093875395 | United Healthcare Distributors | Durable Medical Equipment & Medical Supplies | 25835 Narbonne Ave, Suite 140, Lomita, CA 90717-3074 | 2006-12-10 |
| 1720148026 | Maria H. Pimentel | Durable Medical Equipment & Medical Supplies | 1801 Pacific Coast Hwy, Suite A, Lomita, CA 90717-2757 | 2006-12-10 |
| 1851473144 | James Leedom | Durable Medical Equipment & Medical Supplies | 2059 Pacific Coast Hwy, Lomita, CA 90717-2604 | 2006-10-19 |
| 1114022365 | World Market Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2049 Pacific Coast Highway, Ste 103, Lomita, CA 90717 | 2006-09-13 |
| Find all providers in LOMITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.