Organization
GORDIAN MEDICAL X, INC.
Active
Other names
American Medical Technologies, RestorixHealth
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BOWMAN (PRESIDENT)
(714) 556-0200
Entity
Organization
Contact information
Practice address
1097 WESTON DR, SUITE B, MOUNT JULIET, TN 37122
(615) 601-3678
(877) 380-8282
Mailing address
750 THE CITY DR S STE 225, ORANGE, CA 92868-4976
(714) 556-0200
(877) 380-8282
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000803
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003255458A
—
GA
05
—
103404
—
AZ
05
—
1454461
—
TN
05
—
1477550192
—
NC
05
—
201011450A
—
OK
05
—
272542741
—
AR
05
—
45020850
—
NM
01
—
5886720001
MEDICARE
TN
05
—
9000201041
—
CO
05
—
DM1681
—
SC
Enumeration date
07/07/2005
Last updated
03/15/2024
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