Organization
PROMED INC
Active
Other names
CADE Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER THIBODEAUX DME SUPPLIER (VICE PRESIDENT)
(844) 633-6287
Entity
Organization
Contact information
Practice address
1401 S BERETANIA ST, SUITE 620, HONOLULU, HI 96814-1870
(808) 396-1316
(808) 356-0391
Mailing address
27383 VIA INDUSTRIA, SUITE 200, TEMECULA, CA 92590-3699
(808) 396-1316
(808) 356-0391
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52514901
—
HI
Enumeration date
06/11/2006
Last updated
10/27/2020
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