MEDICARE: UNIVERSAL MEDICAL SUPPLIES & RENTALS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1881003507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL MEDICAL SUPPLIES & RENTALS INC

Provider Business Mailing Address
First Line	:	1435 HAWN AVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71107-6533
Country	:	US
Telephone Number	:	866-314-9110
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 HAWN AVE
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71107-6533
Country	:	US
Telephone Number	:	866-314-9110
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SAMVEL SARIBEKIAN
Credential	:
Telephone Number	:	866-314-9110

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	08/06/2014

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