Provider Demographics
NPI:1164142808
Name:MEDICAL EQUIPMENT SUPPLY PLACE INC
Entity Type:Organization
Organization Name:MEDICAL EQUIPMENT SUPPLY PLACE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMAKRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-955-5455
Mailing Address - Street 1:5380 PEACHTREE INDUSTRIAL BLVD STE 145
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-1579
Mailing Address - Country:US
Mailing Address - Phone:770-685-1352
Mailing Address - Fax:
Practice Address - Street 1:5380 PEACHTREE INDUSTRIAL BLVD STE 145
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1579
Practice Address - Country:US
Practice Address - Phone:770-685-1352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies