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IDIMO MEDICAL SUPPLY
NPI 1790714566
Durable Medical Equipment & Medical Supplies in New Brighton, MN

Active since July 02, 2006
151 SILVER LAKE RD NW, SUITE 1B, NEW BRIGHTON, MN 55112(651) 639-1400(651) 639-1401 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idimo Medical Supply NPPES

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

IDIMO MEDICAL SUPPLY (NPI 1790714566) is a healthcare organization registered as a durable medical equipment & medical supplies in New Brighton, Minnesota and active in the NPI registry since July 2006. The organization lists Stephen Idem Etuko, Director, as its authorized official.

NPPES Registry Identity

NPI1790714566
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameIDIMO MEDICAL SUPPLY
Location Address151 SILVER LAKE RD NW, SUITE 1BNew Brighton, MN 55112-3162
Mailing Address151 Silver Lake Rd Nw, Suite 1bNew Brighton, MN 55112-3162 · (651) 639-1400 · Fax (651) 639-1401
Phone(651) 639-1400
Fax(651) 639-1401
Organization SubpartNo
Authorized OfficialStephen Idem EtukoDirector · (651) 639-1400
Enumeration DateJuly 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790714566 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.
151 SILVER LAKE RD NW, New Brighton, MN 55112
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Other Providers at the Same Location NPPES

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

CAROLYN HOME HEALTH CARE INC
Home Health
151 SILVER LAKE RD NW, STE 212
NEW BRIGHTON, MN 55112
Ramsey County (651) 633-4487

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 Idimo Medical Supply's NPI number?

The NPI number for Idimo Medical Supply is 1790714566. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Idimo Medical Supply located?

Idimo Medical Supply is located at 151 Silver Lake Rd NW Suite 1B, New Brighton, MN 55112. The listed phone number is (651) 639-1400.

What is Idimo Medical Supply'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 Idimo Medical Supply was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.