Provider Demographics
NPI:1437036480
Name:QUALITY NEST MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:QUALITY NEST MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:
Authorized Official - Last Name:DONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-316-0660
Mailing Address - Street 1:18079 RANDALL AVE
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-6071
Mailing Address - Country:US
Mailing Address - Phone:507-316-0660
Mailing Address - Fax:
Practice Address - Street 1:18079 RANDALL AVE
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-6071
Practice Address - Country:US
Practice Address - Phone:507-316-0660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies