Provider Demographics
NPI:1326505033
Name:CPAP EQUIPSOURCE
Entity Type:Organization
Organization Name:CPAP EQUIPSOURCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMIDEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-551-0753
Mailing Address - Street 1:6629 ENGLE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7943
Mailing Address - Country:US
Mailing Address - Phone:216-551-0753
Mailing Address - Fax:
Practice Address - Street 1:6629 ENGLE RD STE 106
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-7943
Practice Address - Country:US
Practice Address - Phone:216-551-0753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies