Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI # | 1891748166 |
| LBN Legal business name | DIRECT MEDICAL EQUIPMENT, INC |
| Authorized official | GREGORY LICA - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/18/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Identifiers | n/a |
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