Organization
CRITERION MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND M. LEWIS (PRESIDENT)
(800) 608-9491
Entity
Organization
Contact information
Practice address
3632 E SOUTH FORK DR, PHOENIX, AZ 85044-6614
(800) 608-9491
(480) 706-6582
Mailing address
3632 E SOUTH FORK DR, PHOENIX, AZ 85044-6614
(800) 608-9491
(480) 706-6582
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41730200
—
WI
01
—
D4317790001
UNITED AMERICAN INSURANCE
—
Enumeration date
10/27/2006
Last updated
08/22/2020
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