Organization
DIAMED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT WAKSER (PRESIDENT)
(330) 588-8966
Entity
Organization
Contact information
Practice address
3670 PROGRESS ST NE, CANTON, OH 44705-4438
(330) 588-8966
(330) 588-8179
Mailing address
3670 PROGRESS ST NE, CANTON, OH 44705-4438
(330) 588-8966
(330) 588-8179
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL 11048
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155860
ANTHEM BC/BS PROVIDER ID
OH
05
—
2020771
—
OH
01
—
91490
QUALCHOICE PROVIDER ID
OH
Enumeration date
07/11/2005
Last updated
08/22/2020
Update your record
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