Organization
PARADYME MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET MARIE KNISELY (PRESIDENT)
(330) 689-0080
Entity
Organization
Contact information
Practice address
3996 KENT RD, BLDG A, STOW, OH 44224-4227
(330) 689-0080
(330) 689-0068
Mailing address
3996 KENT RD, BLDG A, STOW, OH 44224-4227
(330) 689-0080
(330) 689-0068
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMER-22452
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000241580
BLUE CROSS / BLUE SHIELD
OH
05
—
2285638
—
OH
05
—
90006875
—
KY
Enumeration date
05/30/2006
Last updated
12/03/2014
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