MEDICARE: UNIVERSAL MEDICAL EQUIPMENT, INC.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043658495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	310 RANCHITOS RD NE UNIT F
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1451
Country	:	US
Telephone Number	:	858-699-9463
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 RANCHITOS RD NE UNIT F
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87113-1451
Country	:	US
Telephone Number	:	858-699-9463
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SAMVEL SARIBEKIAN
Credential	:	8586999463
Telephone Number	:	858-699-9463

Provider Enumeration Date	:	06/07/2013
Last Update Date	:	06/07/2013

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