NPI Code Detail JSON Logo

1467532234 NPI number — MI-MED SUPPLY CO., INC.

NPI Number: 1467532234
Health Care Provider/Practitioner: MI-MED SUPPLY CO., INC.

Information about “1467532234” NPI (MI-MED SUPPLY CO., INC.) exists in 1467532234 in HTML format HTML  |  1467532234 in plain Text format TXT  |  1467532234 in PDF (Portable Document Format) PDF  |  1467532234 in an XML format XML  formats.

NPI Number : 1467532234 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467532234",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MI-MED SUPPLY CO., INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 674553",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DETROIT",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48267-4553",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-397-3731",
    "MailingAddressFaxNumber": "772-212-4904",
    "FirstLinePracticeLocationAddress": "222 W MISSION AVE STE 125",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPOKANE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99201-2341",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-725-7008",
    "PracticeLocationAddressFaxNumber": "866-397-3731",
    "EnumerationDate": "10/16/2006",
    "LastUpdateDate": "12/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VESTAL",
    "AuthorizedOfficialFirstName": "EMILY",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "PRESIDENT AND DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "866-897-8588",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": "603243565",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.