| NPI | 1467767814 |
|---|---|
| Doing Business As | OM MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | HEENA J PANDYA President 224-730-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2011-03-11 |