Provider Demographics
NPI:1174311658
Name:PRISM HEALTH & MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:PRISM HEALTH & MEDICAL EQUIPMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-693-2287
Mailing Address - Street 1:1011 DEXTER ST APT 1F
Mailing Address - Street 2:
Mailing Address - City:CENTRAL FALLS
Mailing Address - State:RI
Mailing Address - Zip Code:02863-1745
Mailing Address - Country:US
Mailing Address - Phone:857-693-2287
Mailing Address - Fax:401-201-4630
Practice Address - Street 1:2400 PAWTUCKET AVE
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-2903
Practice Address - Country:US
Practice Address - Phone:857-693-2287
Practice Address - Fax:401-201-4630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-25
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies