Provider Demographics
NPI:1881003507
Name:UNIVERSAL MEDICAL SUPPLIES & RENTALS INC
Entity Type:Organization
Organization Name:UNIVERSAL MEDICAL SUPPLIES & RENTALS INC
Other - Org Name:PRECISION REPAIR NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SARIBEKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-314-9110
Mailing Address - Street 1:1435 HAWN AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71107-6533
Mailing Address - Country:US
Mailing Address - Phone:866-314-9110
Mailing Address - Fax:
Practice Address - Street 1:1435 HAWN AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71107-6533
Practice Address - Country:US
Practice Address - Phone:866-314-9110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-06
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies