Organization
MEDICAL RENTALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES FREDKIN LAVICK (OWNER)
(253) 752-3066
Entity
Organization
Contact information
Practice address
1215 S UNION AVE, TACOMA, WA 98405-1923
(253) 752-3066
(253) 759-9816
Mailing address
1215 S UNION AVE, TACOMA, WA 98405-1923
(253) 752-3066
(253) 759-9816
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135454
L & I
—
05
—
9050469
—
WA
01
—
ME0547
REGENCE
—
Enumeration date
09/15/2005
Last updated
08/22/2020
Update your record
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