Organization
BAGLEY MEDICAL SUPPLY LLC
Active
Other names
Genepace Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KUNKLE (PRESIDENT)
(317) 517-7000
Entity
Organization
Contact information
Practice address
316 S RANGELINE RD, CARMEL, IN 46032-2116
(463) 999-9877
Mailing address
PO BOX 4, WESTFIELD, IN 46074-0004
(317) 517-7000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D2213525
CLIA
—
Enumeration date
09/21/2022
Last updated
10/27/2022
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