| NPI | 1114202041 |
|---|---|
| Other Name | STATESERV MEDICAL LLC |
| Entity Type | Organization |
| Authorized Contact | CHRIS ROODE COO 480-797-8061 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2020-04-03 |