Organization
DIMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD R. STATLER (PRESIDENT)
(913) 268-0123
Entity
Organization
Contact information
Practice address
12616 W 62ND TER, SUITE 116, SHAWNEE, KS 66216-1814
(913) 268-0123
Mailing address
12616 W 62ND TER, SUITE 116, SHAWNEE, KS 66216-1814
(913) 268-0123
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0549394
—
IA
05
—
62 874477 01
—
KS
05
—
9052234
—
WA
Enumeration date
05/23/2007
Last updated
08/22/2020
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