Provider Demographics
NPI:1700993680
Name:ADVANCED MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:CARTRON
Authorized Official - Suffix:
Authorized Official - Credentials:RRT BS
Authorized Official - Phone:256-519-2430
Mailing Address - Street 1:1104 GLENEAGLES DR SW
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6404
Mailing Address - Country:US
Mailing Address - Phone:256-519-2430
Mailing Address - Fax:256-519-2433
Practice Address - Street 1:2006 FRANKLIN STREET
Practice Address - Street 2:ADVANCED MEDICAL EQUIPMENT LLC SUITE 102
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4537
Practice Address - Country:US
Practice Address - Phone:256-519-2430
Practice Address - Fax:256-519-2433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPERMIT NO. 578332B00000X
AL578332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-23200OtherBCBS
AL51523200OtherBSBC
AL51523200OtherBSBC