Provider Demographics
NPI:1831526003
Name:MEDIPX, LLC
Entity type:Organization
Organization Name:MEDIPX, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEREMIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-373-1080
Mailing Address - Street 1:4002 HIGHWAY 78 W
Mailing Address - Street 2:SUITE 530-208
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-7915
Mailing Address - Country:US
Mailing Address - Phone:678-373-1080
Mailing Address - Fax:877-797-7025
Practice Address - Street 1:4002 HIGHWAY 78 W
Practice Address - Street 2:SUITE 530-208
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-7915
Practice Address - Country:US
Practice Address - Phone:678-373-1080
Practice Address - Fax:877-797-7025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies