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LIFE SOURCE MEDICAL, INC.
NPI 1083804785
Durable Medical Equipment & Medical Supplies in Greensboro, NC

Active since July 28, 2007
377 S SWING RD, GREENSBORO, NC 27409(336) 316-1166(336) 316-1144 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Life Source Medical, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SOURCE MEDICAL, INC. (NPI 1083804785) is a healthcare organization registered as a durable medical equipment & medical supplies in Greensboro, North Carolina and active in the NPI registry since July 2007. The organization lists Gorgi Naumovski, Vp President, as its authorized official.

NPPES Registry Identity

NPI1083804785
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLIFE SOURCE MEDICAL, INC.
Location Address377 S SWING RDGreensboro, NC 27409-2009
Mailing Address377 S Swing RdGreensboro, NC 27409-2009 · (336) 316-1166 · Fax (336) 316-1144
Phone(336) 316-1166
Fax(336) 316-1144
Organization SubpartNo
Authorized OfficialGorgi NaumovskiVp President · (618) 571-1005
Enumeration DateJuly 28, 2007
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1083804785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
377 S SWING RD, Greensboro, NC 27409
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Other Identifiers 2

Medicaid7704697NC
Medicare NSC5969390001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RICK DEAN PUCKETT C.PED
Prosthetic/Orthotic Supplier
377 S SWING RD
GREENSBORO, NC 27409
Guilford County (336) 316-1166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Source Medical, Inc.'s NPI number?

The NPI number for Life Source Medical, Inc. is 1083804785. It was assigned to this organization in the NPPES registry on July 28, 2007.

Where is Life Source Medical, Inc. located?

Life Source Medical, Inc. is located at 377 S Swing Rd, Greensboro, NC 27409. The listed phone number is (336) 316-1166.

What is Life Source Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Life Source Medical, Inc. accept?

Health plans from UnitedHealthcare list Life Source Medical, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Source Medical, Inc. was last updated on September 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.