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Organization

PATRICK S. UDOIDIONG

Active
Other names
Equipped Medical Supply
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK S UDOIDIONG (OWNER)
(909) 390-5636
Entity
Organization

Contact information

Practice address
181 S WINEVILLE AVE, SUITE J, ONTARIO, CA 91761-7887
(909) 390-5636
(909) 390-5646
Mailing address
181 S WINEVILLE AVE, SUITE J, ONTARIO, CA 91761-7887
(909) 390-5636
(909) 390-5646

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15646680I / 02
TX
05
1623369
LA
Enumeration date
08/23/2006
Last updated
10/20/2010
About Stedi
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Product
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  • Eligibility checks
  • EDI platform