OrganizationActive
1 Source Medical Equip & Supplies, Inc.
NPI 1578519039 · Durable Medical Equipment & Medical Supplies · Mishawaka, IN
Provider details
- NPI number
- 1578519039
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Authorized official
- Brandi Lopes, Owner
- License
- 0122739876 (IN)
Mailing address
305 E Mckinley Ave
Mishawaka, IN 46545-6212
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.