Organization
JMR MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
9821 OLDE 8 RD STE D1, NORTHFIELD, OH 44067-1456
(234) 201-1076
(330) 467-1839
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL.11025
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2200442
—
OH
01
—
HMEL.11025
STATE LICENSE
OH
Enumeration date
05/05/2006
Last updated
01/28/2026
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