Organization
BIOTEL INR, LLC
Active
Other names
Roche Insulin Delivery Systems Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MCNAMARA (VICE PRESIDENT)
(610) 729-0504
Entity
Organization
Contact information
Practice address
400 OYSTER POINT BLVD STE 339, SOUTH SAN FRANCISCO, CA 94080-1920
(510) 788-9200
(800) 779-8560
Mailing address
1000 CEDAR HOLLOW RD STE 102, MALVERN, PA 19355-2300
(610) 729-5066
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
0105509540
IN
332B00000X
Durable Medical Equipment & Medical Supplies
0105509540
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FQ013A
MEDICARE PTAN
CA
01
—
FQ013B
MEDICARE PTAN
CA
Enumeration date
10/26/2010
Last updated
07/20/2023
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