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PROFESSIONAL MEDICAL OXYGEN
NPI 1932257375
Durable Medical Equipment & Medical Supplies in Phoenix, AZ

Active since January 08, 2007
21620 N 19TH AVE, A102, PHOENIX, AZ 85027(623) 587-0012(623) 587-7533 Get Directions Write a Review

NPPES record last updated: November 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Professional Medical Oxygen NPPES

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

PROFESSIONAL MEDICAL OXYGEN (NPI 1932257375) is a healthcare organization registered as a durable medical equipment & medical supplies in Phoenix, Arizona and active in the NPI registry since January 2007. The organization lists David Cornejo, General Manager, as its authorized official.

NPPES Registry Identity

NPI1932257375
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLIBERTY III MANAGEMENT TR
Location Address21620 N 19TH AVE, A102Phoenix, AZ 85027-2716
Mailing AddressPo Box 86658Phoenix, AZ 85080-6658 · (602) 509-2001 · Fax (623) 587-7533
Phone(623) 587-0012
Fax(623) 587-7533
Organization SubpartNo
Authorized OfficialDavid CornejoGeneral Manager · (623) 587-0012
Enumeration DateJanuary 8, 2007
Last NPPES UpdateNovember 2, 2011
✔ NPI 1932257375 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 AZ · 07498747M
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.
21620 N 19TH AVE, Phoenix, AZ 85027
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Other Names 1

Doing Business AsProfessional Medical Oxygen

Other Identifiers 1

Medicare ID-Type Unspecified0994420001AZ · Medicare Id#

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.

GENISE BURNETT
Specialist/Technologist (Speech-Language Assistant)
21620 N 19TH AVE
PHOENIX, AZ 85027
Maricopa County (602) 690-9583
GINA S METROFF LPC
Counselor (Mental Health)
21620 N 19TH AVE, SUITE A-102
PHOENIX, AZ 85027
Maricopa County (602) 751-5584

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 Liberty III Management Tr's NPI number?

The NPI number for Liberty III Management Tr is 1932257375. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Professional Medical Oxygen.

Where is Liberty III Management Tr located?

Liberty III Management Tr is located at 21620 N 19th Ave A102, Phoenix, AZ 85027. The listed phone number is (623) 587-0012.

What is Liberty III Management Tr'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 Liberty III Management Tr was last updated on November 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.