Provider Demographics
NPI:1588303036
Name:LEXAR MED INC
Entity type:Organization
Organization Name:LEXAR MED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALIEN
Authorized Official - Middle Name:SALVADOR
Authorized Official - Last Name:RODRIGUEZ QUIROGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-478-6866
Mailing Address - Street 1:12150 SW 128TH CT STE 224
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4674
Mailing Address - Country:US
Mailing Address - Phone:786-604-1455
Mailing Address - Fax:
Practice Address - Street 1:12150 SW 128TH CT STE 224
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4674
Practice Address - Country:US
Practice Address - Phone:786-604-1455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies