Organization
MEDICAL TECHNOLOGY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW R AMICON (PRESIDENT/CEO)
(888) 250-5699
Entity
Organization
Contact information
Practice address
400 LAZELLE ROAD, SUITE 7, COLUMBUS, OH 43240-2077
(888) 250-5699
(877) 861-2488
Mailing address
400 LAZELLE ROAD, SUITE 7, COLUMBUS, OH 43240-2077
(888) 250-5699
(877) 861-2488
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0869
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2585966
—
OH
Enumeration date
09/22/2006
Last updated
02/01/2012
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