Provider Demographics
NPI:1073925558
Name:XPRESS MEDICAL SUPPLIES, SALES & RENTAL, LLC
Entity Type:Organization
Organization Name:XPRESS MEDICAL SUPPLIES, SALES & RENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-647-7154
Mailing Address - Street 1:400 W DARLINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501
Mailing Address - Country:US
Mailing Address - Phone:843-647-7154
Mailing Address - Fax:843-662-3780
Practice Address - Street 1:400 W DARLINGTON ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-2510
Practice Address - Country:US
Practice Address - Phone:843-647-7154
Practice Address - Fax:843-662-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
SC332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition