Healthcare Provider Details

I. General information

NPI: 1881472066
Provider Name (Legal Business Name): ONESOURCE MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20789 N PIMA RD STE 250
SCOTTSDALE AZ
85255-7206
US

IV. Provider business mailing address

20789 N PIMA RD STE 250
SCOTTSDALE AZ
85255-7206
US

V. Phone/Fax

Practice location:
  • Phone: 480-489-3414
  • Fax: 866-422-4007
Mailing address:
  • Phone: 480-489-3414
  • Fax: 866-422-4007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DAVID MURPHY
Title or Position: PRESIDENT
Credential:
Phone: 480-489-3414