Provider Demographics
NPI:1932673464
Name:AMERICA ELITE DME SUPPLY LLC.
Entity Type:Organization
Organization Name:AMERICA ELITE DME SUPPLY LLC.
Other - Org Name:ARIZONA QUICK MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:ISRAEL
Authorized Official - Last Name:ABRAMOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-569-2501
Mailing Address - Street 1:2625 E GREENWAY PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-4373
Mailing Address - Country:US
Mailing Address - Phone:602-569-2501
Mailing Address - Fax:602-569-2502
Practice Address - Street 1:2625 E GREENWAY PKWY STE 110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-4373
Practice Address - Country:US
Practice Address - Phone:602-569-2501
Practice Address - Fax:602-569-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-17
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies