Organization
STAT MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANGELA MCDERMOTT (CUSTOMER ACCOUNTS MANAGER)
(425) 216-3933
Entity
Organization
Contact information
Practice address
14031 NE WOODINVILLE DUVALL RD, WOODINVILLE, WA 98072-8504
(206) 621-1982
(425) 481-8365
Mailing address
21222 30TH DR SE, SUITE 210, BOTHELL, WA 98021-7019
(206) 621-1982
(425) 820-0831
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9029265
—
WA
05
—
9038860
—
WA
05
—
9047085
—
WA
01
—
ST2365
REGENCE BLUE SHIELD
—
Enumeration date
08/29/2007
Last updated
07/18/2008
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