Provider Demographics
NPI:1558531491
Name:MEDI-PLEX DME PLUS, LLC
Entity Type:Organization
Organization Name:MEDI-PLEX DME PLUS, LLC
Other - Org Name:DME PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:F
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-721-3434
Mailing Address - Street 1:200 S HANLEY RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:CLAYTON
Mailing Address - State:MO
Mailing Address - Zip Code:63105-3415
Mailing Address - Country:US
Mailing Address - Phone:314-721-3434
Mailing Address - Fax:314-721-7280
Practice Address - Street 1:200 S HANLEY RD
Practice Address - Street 2:SUITE 600
Practice Address - City:CLAYTON
Practice Address - State:MO
Practice Address - Zip Code:63105-3415
Practice Address - Country:US
Practice Address - Phone:314-721-3434
Practice Address - Fax:314-721-7280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies