Healthcare Provider Details

I. General information

NPI: 1588850820
Provider Name (Legal Business Name): MEDEQUIP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 S HIGHWAY 14 SUITE 1200L
GREER SC
29650-4902
US

IV. Provider business mailing address

27 BROOKLINE
ALISO VIEJO CA
92656-1461
US

V. Phone/Fax

Practice location:
  • Phone: 864-849-9144
  • Fax: 864-849-9196
Mailing address:
  • Phone: 949-443-4414
  • Fax: 949-425-1738

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 Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: SOREN LIND
Title or Position: C.E.O.
Credential:
Phone: 949-443-4418