Organization
BLUE DIAMOND MED TECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN J SLADE (OWNER)
(336) 514-7368
Entity
Organization
Contact information
Practice address
1162 ARCH COOK RD, PELHAM, NC 27311-8746
(336) 514-7368
(336) 388-0402
Mailing address
1162 ARCH COOK RD, PELHAM, NC 27311-8746
(336) 514-7368
(336) 388-0402
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
9893054
NC
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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