Provider Demographics
NPI:1326201013
Name:ADVANCED MEDICAL ENTERPRISES LP
Entity Type:Organization
Organization Name:ADVANCED MEDICAL ENTERPRISES LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:SALALATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-285-4914
Mailing Address - Street 1:PO BOX 5576
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73083-5576
Mailing Address - Country:US
Mailing Address - Phone:405-285-4914
Mailing Address - Fax:405-285-7127
Practice Address - Street 1:620 E SOUTHLAKE BLVD
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6236
Practice Address - Country:US
Practice Address - Phone:405-285-4914
Practice Address - Fax:405-285-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies