NPI 1184718132

Mid State Artificial Limb Co, INC

Organisation Prosthetic/Orthotic Supplier Jackson, MS

Practice location

Address: 4455 Medgar Evers Blvd, Jackson, MS 39213-5202
Phone: (601) 981-2229
Fax: (601) 362-2129
Mailing address: PO Box 31092, Jackson, MS 39286-1092

Authorised official

Name: Troy Luster
Title: President
Phone: (601) 981-2229

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Mississippi →

Registry record

NPI: 1184718132
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 9 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.