Provider Demographics
NPI:1518235415
Name:MEDICAL EQUIPMENT SOLUTIONS
Entity Type:Organization
Organization Name:MEDICAL EQUIPMENT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASAYAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-389-0801
Mailing Address - Street 1:5631 S CROWS NEST RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-2110
Mailing Address - Country:US
Mailing Address - Phone:808-389-0801
Mailing Address - Fax:
Practice Address - Street 1:5631 S CROWS NEST RD
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-2110
Practice Address - Country:US
Practice Address - Phone:808-389-0801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies