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PRIME SOURCE MEDICAL SERVICES, INC
NPI 1902070964
Durable Medical Equipment & Medical Supplies in Shreveport, LA

Active since April 21, 2008
2715 MACKEY PL STE 116, SHREVEPORT, LA 71118(318) 687-6776(318) 687-6996 Get Directions Write a Review

NPPES record last updated: April 21, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Prime Source Medical Services, Inc NPPES

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

PRIME SOURCE MEDICAL SERVICES, INC (NPI 1902070964) is a healthcare organization registered as a durable medical equipment & medical supplies in Shreveport, Louisiana and active in the NPI registry since April 2008. The organization lists Jade U Irondi, President, as its authorized official.

NPPES Registry Identity

NPI1902070964
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePRIME SOURCE MEDICAL SERVICES, INC
Location Address2715 MACKEY PL STE 116Shreveport, LA 71118-2528
Mailing Address2715 Mackey Pl Ste 116Shreveport, LA 71118-2528 · (318) 687-6776 · Fax (318) 687-6996
Phone(318) 687-6776
Fax(318) 687-6996
Organization SubpartNo
Authorized OfficialJade U IrondiPresident · (318) 687-6776
Enumeration DateApril 21, 2008
✔ NPI 1902070964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in LA · 00213555
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.
2715 MACKEY PL STE 116, Shreveport, LA 71118
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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 Prime Source Medical Services, Inc's NPI number?

The NPI number for Prime Source Medical Services, Inc is 1902070964. It was assigned to this organization in the NPPES registry on April 21, 2008.

Where is Prime Source Medical Services, Inc located?

Prime Source Medical Services, Inc is located at 2715 Mackey Pl Ste 116, Shreveport, LA 71118. The listed phone number is (318) 687-6776.

What is Prime Source Medical Services, Inc'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 Prime Source Medical Services, Inc was last updated on April 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.