Organization Active NPI

Ime Medical Corporation

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1114053154
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1783 Issued in FL
Legal business name
IME MEDICAL CORPORATION
Practice address
401 W Waters Ave Ste a
Tampa, FL 33604-2940
Phone
(813) 931-4015
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nse A Imeh
Title
President
Phone
(813) 931-4015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1783 FL Primary

Addresses

Primary practice location

401 W Waters Ave Ste a
Tampa, FL 33604-2940

Mailing address

401 W Waters Ave Ste a
Tampa, FL 33604-2940
Phone (813) 931-4015

Other identifiers 2

IdentifierTypeStateIssuer
025870900MedicaidFL
R9412OtherFLBCBS FL PROVIDER

National Provider Directory

National Provider Directory

Locations

401A W Waters Ave
Tampa, FL 33604
Phone (813) 931-4015

401 W Waters Ave
#A
Tampa, FL 33604
Phone (813) 931-4015

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1114053154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W WATERS AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042940",
            "telephone_number": "813-931-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W WATERS AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042940",
            "telephone_number": "813-931-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IME MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "IMEH",
        "authorized_official_first_name": "NSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-931-4015"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025870900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL PROVIDER",
            "identifier": "R9412",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.