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Organization

MEDICAL TECHNOLOGY RESOURCES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDREW ROBERT AMICON (PRESIDENT CEO)
(614) 866-9516
Entity
Organization

Contact information

Practice address
1010 E TAYLOR STATION ROAD, GAHANNA, OH 43230
(614) 866-9516
(614) 866-9520
Mailing address
1010 E TAYLOR STATION ROAD, GAHANNA, OH 43230
(614) 866-9516
(614) 866-9520

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2585966
OH
Enumeration date
02/02/2006
Last updated
09/11/2025
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