Organization
DURABLE MEDICAL EQUIPMENT, INC
Active
Parent organization
RELIANT MEDICAL GROUP, INC
Other names
Lakeview Medical Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
RELIANT MEDICAL GROUP, INC
Authorized official
TAREK ELSAWY M.D. (PRESIDENT AND CEO)
(508) 852-0600
Entity
Organization
Contact information
Practice address
42 SOUTHBRIDGE ST, AUBURN, MA 01501-2582
(508) 407-7700
(508) 407-7717
Mailing address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 852-0600
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2354
PAYOR FCHP
MA
01
—
400154
BCBS
MA
01
—
AA31092
HARVARD PILGRIM HC
MA
Enumeration date
09/16/2006
Last updated
02/22/2019
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