Provider Demographics
NPI:1891858114
Name:READY MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:READY MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-461-7880
Mailing Address - Street 1:2550 W MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1694
Mailing Address - Country:US
Mailing Address - Phone:562-461-7880
Mailing Address - Fax:562-461-7881
Practice Address - Street 1:2550 W MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1694
Practice Address - Country:US
Practice Address - Phone:562-461-7880
Practice Address - Fax:562-461-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2013-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46426332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5891590001Medicare NSC