Organization
MRT MEDICAL
Active
Other names
ATEAM MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL LORENZO MCGUIRE (CONTROLLER)
(859) 381-9311
Entity
Organization
Contact information
Practice address
340 LEGION DR, SUITE 12, LEXINGTON, KY 40504-2716
(859) 381-9311
(859) 225-5841
Mailing address
340 LEGION DR, SUITE 12, LEXINGTON, KY 40504-2716
(859) 381-9311
(859) 225-5841
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90000829
—
KY
Enumeration date
09/29/2005
Last updated
12/12/2007
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