Provider Demographics
NPI:1275396459
Name:MAXIMUM MEDICAL SUPPLY
Entity Type:Organization
Organization Name:MAXIMUM MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SR. ACCT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MANDALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-214-0240
Mailing Address - Street 1:4530 S ROBERTSON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6329
Mailing Address - Country:US
Mailing Address - Phone:504-214-0240
Mailing Address - Fax:
Practice Address - Street 1:4530 S ROBERTSON ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6329
Practice Address - Country:US
Practice Address - Phone:504-214-0240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies