| NPI | 1073922688 |
|---|---|
| Doing Business As | MINORITY SOURCE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JERMAINE CHANEY Managing Partner 317-339-9087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-09-05 |