Provider Demographics
NPI:1871733782
Name:PACE MEDICAL SERVICES INC.
Entity type:Organization
Organization Name:PACE MEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OBIORA
Authorized Official - Middle Name:
Authorized Official - Last Name:UMEADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-758-3300
Mailing Address - Street 1:3311 W. MANCHESTER BLVD
Mailing Address - Street 2:105
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305
Mailing Address - Country:US
Mailing Address - Phone:323-758-3300
Mailing Address - Fax:323-758-3355
Practice Address - Street 1:3311 W MANCHESTER BLVD
Practice Address - Street 2:105
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90305-2353
Practice Address - Country:US
Practice Address - Phone:323-758-3300
Practice Address - Fax:323-758-3355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies