Organization Name: | PENINSULA BIOMEDICAL INC |
NPI Number: | 1790796639 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONY REID (PRESIDENT/OWNER) |
Mailing Address: | 500-01 Wait Ave Wake Forest |
State: | NC US |
Postal Code: | 27587 |
Phone Number: | 9195568934 |
Fax Number: | 9195560693 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 00508 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |