Organization
REDI-MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A SHANE (PRESIDENT)
(410) 668-7334
Entity
Organization
Contact information
Practice address
2527 PUTTY HILL AVE, BALTIMORE, MD 21234-4307
(410) 668-7334
(410) 668-8093
Mailing address
PO BOX 106, BALDWIN, MD 21013-0106
(410) 668-7334
(410) 668-8093
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R2152
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364008600
—
MD
01
—
53330102
CAREFIRST BCBS OF MD
MD
01
—
6902000000Y097
CAREFIRST NASCO OF MD
MD
01
—
Y097RE
CAREFIRST BCBSMD
MD
Enumeration date
01/25/2007
Last updated
06/21/2018
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