MEDICARE: GABRIEL MEDICAL SYSTEMS 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	102151	MO

General Provider Information

NPI Number	:	1760437495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABRIEL MEDICAL SYSTEMS INC

Provider Business Mailing Address
First Line	:	11734 LACKLAND INDUSTRIAL DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-4209
Country	:	US
Telephone Number	:	314-587-2444
Fax Number	:	314-587-2447

Provider Business Practice Location Address
First Line	:	11734 LACKLAND INDUSTRIAL DR
Second Line	:
City	:	ST. LOUIS
State	:	MO
Zip	:	63146-4209
Country	:	US
Telephone Number	:	314-587-2444
Fax Number	:	314-587-2447

Authorized Official
Title or Position	:	MANAGING EMPLOYER
Name	:	MR. HEINZ W ARTELT
Credential	:
Telephone Number	:	314-587-2444

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	07/22/2008

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