# MEDX ACQUISITION CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043464811
- **Authorized official:** MR. KEITH W DESTEFANO (PRESIDENT & CEO)
- **Authorized official phone:** (610) 971-1900

## Contact information

- **Practice address:** 279 GREAT VALLEY PKWY, MALVERN, PA 19355-1308
- **Practice address phone:** (610) 971-1900
- **Practice address fax:** (610) 971-2200
- **Mailing address:** 279 GREAT VALLEY PKWY, MALVERN, PA 19355-1308
- **Mailing address phone:** (610) 971-1900
- **Mailing address fax:** (610) 971-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/06/2008
- **Last updated:** 08/24/2009