Idimo Medical Supply
Idimo Medical Supply is a Durable Medical Equipment & Medical Supplies in New Brighton, Minnesota. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
151 Silver Lake Rd NW Ste 1BNew Brighton, MN 55112-3162
Phone: (651) 639-1400
Fax: (651) 639-1401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1790714566 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephen Etuko — Director · (651) 639-1400 |
| NPI enumerated | July 2, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 151 Silver Lake Rd Nw, Suite 1b, New Brighton, MN 55112-3162 |
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