Healthcare Provider Details

I. General information

NPI: 1073925558
Provider Name (Legal Business Name): XPRESS MEDICAL SUPPLIES, SALES & RENTAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2014
Last Update Date: 06/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W DARLINGTON ST
FLORENCE SC
29501-2510
US

IV. Provider business mailing address

400 W DARLINGTON STREET
FLORENCE SC
29501
US

V. Phone/Fax

Practice location:
  • Phone: 843-647-7154
  • Fax: 843-662-3780
Mailing address:
  • Phone: 843-647-7154
  • Fax: 843-662-3780

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 Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StateSC

VIII. Authorized Official

Name: MR. DAVID MORRISEY
Title or Position: MANAGER
Credential:
Phone: 843-647-7154