Organization
CUSTOM TECNHOLOGY CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B ROBERT BADER (PRESIDENT)
(509) 965-3333
Entity
Organization
Contact information
Practice address
460 MCLAUGHLIN RD, YAKIMA, WA 98908-9659
(509) 965-3333
(509) 965-9309
Mailing address
460 MCLAUGHLIN RD, YAKIMA, WA 98908-9659
(509) 965-3333
(509) 965-9309
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
600623656
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1202090
PMSI
FL
Enumeration date
01/14/2009
Last updated
01/14/2009
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