# MEDTIX LLC

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

## Provider details

- **NPI number:** 1508280017
- **Authorized official:** TAMMIE J DRAINE (DIRECTOR OF BILLING)
- **Authorized official phone:** (302) 645-8070

## Contact information

- **Practice address:** 8101 GERMANTOWN AVE, PHILADELPHIA, PA 19118-3422
- **Practice address phone:** (302) 645-8070
- **Practice address fax:** (302) 645-8870
- **Mailing address:** 16337 COASTAL HWY, LEWES, DE 19958-3607
- **Mailing address phone:** (302) 645-8070
- **Mailing address fax:** (302) 645-8870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 3000008758 | PA | Yes |

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 02/05/2014
