EASTSIDE MEDICAL SUPPLY LLC
NPI 1295306389
Durable Medical Equipment & Medical Supplies in Lithonia, GA

Active since July 08, 2021
1016 BALTIC WAY, LITHONIA, GA 30058(678) 768-4318 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastside Medical Supply Llc NPPES

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

EASTSIDE MEDICAL SUPPLY LLC (NPI 1295306389) is a healthcare organization registered as a durable medical equipment & medical supplies in Lithonia, Georgia and active in the NPI registry since July 2021. The organization lists Latorius Mccray, Owner, as its authorized official.

NPPES Registry Identity

NPI1295306389
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameEASTSIDE MEDICAL SUPPLY LLC
Location Address1016 BALTIC WAYLithonia, GA 30058-5968
Mailing Address7162 Lone Oak WayLithonia, GA 30058-8291
Organization SubpartNo
Authorized OfficialLatorius MccrayOwner · (678) 768-4318
Enumeration DateJuly 8, 2021
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJuly 9, 2021
NPI 1295306389 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.
1016 BALTIC WAY, Lithonia, GA 30058

Other Providers at the Same Location NPPES 2

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

Durable Medical Equipment & Medical Supplies
1016 BALTIC WAY
LITHONIA, GA 30058
Durable Medical Equipment & Medical Supplies
1016 BALTIC WAY
LITHONIA, GA 30058

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 Eastside Medical Supply LLC's NPI number?

The NPI number for Eastside Medical Supply LLC is 1295306389. It was assigned to this organization in the NPPES registry on July 8, 2021.

Where is Eastside Medical Supply LLC located?

Eastside Medical Supply LLC is located at 1016 Baltic Way, Lithonia, GA 30058. The listed phone number is (678) 768-4318.

What is Eastside Medical Supply LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eastside Medical Supply LLC was last updated on July 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.