Provider Demographics
NPI:1538290358
Name:QUEST MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:QUEST MEDICAL SERVICES INC
Other - Org Name:QUEST PROSTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBICHEAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-861-6918
Mailing Address - Street 1:418 SECURITY SQ
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-1952
Mailing Address - Country:US
Mailing Address - Phone:228-539-0034
Mailing Address - Fax:228-539-0053
Practice Address - Street 1:418 SECURITY SQ
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-1952
Practice Address - Country:US
Practice Address - Phone:228-539-0034
Practice Address - Fax:866-468-3883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS332B00000X, 332BX2000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440594Medicaid
1267010001Medicare NSC
MS1267010001Medicare NSC