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NPI Code Detail

MEDICARE: EASTSIDE DME SUPPLY

MEDICARE: EASTSIDE DME SUPPLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1033624457
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTSIDE DME SUPPLY
Provider Business Mailing Address
First Line : 2775 S MORELAND BLVD FL 3
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-2397
Country : US
Telephone Number : 216-751-8988
Fax Number : 216-751-8990
Provider Business Practice Location Address
First Line : 2775 S MORELAND BLVD FL 3
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-2397
Country : US
Telephone Number : 216-751-8988
Fax Number : 216-751-8990
Authorized Official
Title or Position : OWNER
Name : LAUCHLIN MCKEIGAN
Credential : DC
Telephone Number : 216-751-8988
Provider Enumeration Date : 12/07/2017
Last Update Date : 11/03/2023

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Directions to “EASTSIDE DME SUPPLY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.