Organization
IMEDICAL GROUP,INC.
Active
Other names
imedical group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRIAN GAFFNEY (BUSINESS MANAGER)
(814) 849-2003
Entity
Organization
Contact information
Practice address
231 ALLEGHENY BLVD, SUITE C, BROOKVILLE, PA 15825-2327
(814) 849-2003
(814) 715-7009
Mailing address
PO BOX 500, BROOKVILLE, PA 15825-0500
(814) 849-2003
(814) 715-7009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
09/10/2009
Last updated
05/02/2011
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