Provider Demographics
NPI:1720261019
Name:JUST MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:JUST MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSPANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-220-9628
Mailing Address - Street 1:14900 INTERURBAN AVE S
Mailing Address - Street 2:SUITE 271
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-4635
Mailing Address - Country:US
Mailing Address - Phone:818-220-9628
Mailing Address - Fax:
Practice Address - Street 1:14900 INTERURBAN AVE S
Practice Address - Street 2:SUITE 271
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-4635
Practice Address - Country:US
Practice Address - Phone:818-220-9628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies