Organization Name: | DIAGNOSTIC CLINIC DME |
NPI Number: | 1730232240 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES F RIVENBARK (CEO) |
Mailing Address: | 1301 2nd Ave Sw Largo |
State: | FL US |
Postal Code: | 337703120 |
Phone Number: | 7275818767 |
Fax Number: | 7275818507 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |