Organization
BIOTEL INR, LLC
Active
Other names
Roche Insulin Delivery Systems Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MCNAMARA (VICE PRESIDENT)
(610) 729-0504
Entity
Organization
Contact information
Practice address
9115 HAGUE RD, STE 100, INDIANAPOLIS, IN 46256-1025
(317) 521-2000
Mailing address
1000 CEDAR HOLLOW RD STE 102, MALVERN, PA 19355-2300
(610) 729-5066
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
0105509540
IN
332B00000X
Durable Medical Equipment & Medical Supplies
0105509540
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258200
MEDICARE PTAN
IN
Enumeration date
05/06/2008
Last updated
07/20/2023
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