Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Life Source Medical, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1326223082

Life Source Medical, Inc is a Durable Medical Equipment & Medical Supplies in Princeton, West Virginia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1439 Main St Ste 1
Princeton, WV 24740
Phone: (304) 431-3000
Fax: (304) 431-3330
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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 number1326223082
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLife Source Medical, Inc
Authorized official Ginger Maxwell — President · (336) 316-1166
NPI enumeratedDecember 31, 2007
Last updated in NPPESDecember 31, 2007
Mailing address1439 Main Street, Suite 1, Princeton, WV 24740

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