Prime Source Medical Services, Inc
NPI 1902070964 · Durable Medical Equipment & Medical Supplies · Shreveport, LA
Prime Source Medical Services, Inc is a Durable Medical Equipment & Medical Supplies organization in Shreveport, LA (NPI 1902070964).
Provider details
- NPI number
- 1902070964
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jade Irondi, President(318) 687-6776
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-21
- Last updated
- 2008-04-21
Frequently asked questions
- What is Prime Source Medical Services, Inc's NPI number?
- Prime Source Medical Services, Inc's National Provider Identifier (NPI) is 1902070964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Source Medical Services, Inc?
- Prime Source Medical Services, Inc is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Prime Source Medical Services, Inc located?
- Prime Source Medical Services, Inc's practice location on file with NPPES is 2715 Mackey Pl Ste 116, Shreveport, LA 71118-2528.
- What is Prime Source Medical Services, Inc's phone number?
- The practice phone number listed in the NPPES registry for Prime Source Medical Services, Inc is (318) 687-6776.
- Who is the authorized official for Prime Source Medical Services, Inc?
- The authorized official listed on Prime Source Medical Services, Inc's NPPES record is Jade Irondi, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Source Medical Services, Inc's NPI active?
- Yes — Prime Source Medical Services, Inc's NPI (1902070964) is active in the NPPES registry as of the last update on 2008-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.