| Organization Name: | DR MEDICAL LLC |
| NPI Number: | 1679912927 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARYL REUTER (PRESIDENT/OWNER) |
| Mailing Address: | 322 Main St Ste 1w Willimantic |
| State: | CT US |
| Postal Code: | 062263152 |
| Phone Number: | 5082221972 |
| Fax Number: | 5082226900 |
| NPI Enumeration Date: | 06/20/2013 |
| NPI Last Update Date: | 06/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | C16275 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |