Organization
STAT MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTHONY CONFORTO (PRESIDENT CEO)
(206) 621-1982
Entity
Organization
Contact information
Practice address
12447 116TH AVE NE, KIRKLAND, WA 98034-4309
(425) 216-3903
(425) 481-8365
Mailing address
21222 30TH DR SE, SUITE 210, BOTHELL, WA 98021-7019
(206) 621-1982
(425) 820-0831
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6012058040010001
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
6012058040010001
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066134
LABOR & INDUSTRIES
WA
05
—
9029265
—
WA
05
—
9038860
—
WA
05
—
9047085
—
WA
01
—
ST2365
REGENCE BLUE SHIELD
WA
Enumeration date
05/11/2006
Last updated
12/08/2011
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