MEDICARE: ECOMM OUTSOURCE LLC

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	:	1336080282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECOMM OUTSOURCE LLC

Provider Business Mailing Address
First Line	:	10639 N HOLLY ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-7703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10639 N HOLLY ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-7703
Country	:	US
Telephone Number	:	816-785-3823
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	GHAZALA AHMED
Credential	:
Telephone Number	:	816-785-3823

Provider Enumeration Date	:	04/03/2026
Last Update Date	:	04/03/2026

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Directions to “ECOMM OUTSOURCE LLC ” Practice Location

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