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

Prime Source Medical Services, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1902070964

Prime Source Medical Services, Inc is a Durable Medical Equipment & Medical Supplies in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
Specialties on file
2
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

2715 Mackey Pl Ste 116
Shreveport, LA 71118-2528
Phone: (318) 687-6776
Fax: (318) 687-6996
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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 · Licence 00213555 (LA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1902070964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jade Irondi — President · (318) 687-6776
NPI enumeratedApril 21, 2008
Last updated in NPPESApril 21, 2008
Mailing address2715 Mackey Pl Ste 116, Shreveport, LA 71118-2528

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