Healthcare Provider Details

I. General information

NPI: 1730038498
Provider Name (Legal Business Name): MEDEQUIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6418 CHALGROVE CV
MEMPHIS TN
38134-6936
US

IV. Provider business mailing address

6418 CHALGROVE CV
MEMPHIS TN
38134-6936
US

V. Phone/Fax

Practice location:
  • Phone: 901-640-9593
  • Fax:
Mailing address:
  • Phone: 901-640-9593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: BLANCA GOMEZ
Title or Position: CEO
Credential:
Phone: 901-640-9593