Organization Active NPI

Duramed Medical Services

  • Physiological Laboratory
  • Madison, FL
National Provider Identifier
1124159728
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
HCC4268 Issued in FL
Legal business name
DURAMED MEDICAL SERVICES
Practice address
289 SW Range Ave
Ste D
Madison, FL 32340
Phone
(850) 973-8116
Fax
(850) 973-8118
NPI assigned
Mar 8, 2007
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Mr. Bishop Lee McMiller, RRT REGISTERED RESPI
Title
Proprietor
Phone
(850) 973-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X HCC4268 FL Primary

Addresses

Primary practice location

289 SW Range Ave
Ste D
Madison, FL 32340

Mailing address

602 NE Blue Ridge Landing Ave
Lee, FL 32059
Phone (850) 973-8116

Other names 1

  • Sleep Laboratory Other name

National Provider Directory

National Provider Directory

Locations

289 SW Range Ave
Ste D
Madison, FL 32340
Phone (850) 973-8116

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1124159728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 NE BLUE RIDGE LANDING AVE",
            "city": "LEE",
            "state": "FL",
            "postal_code": "32059",
            "telephone_number": "850-973-8116",
            "fax_number": "850-973-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 SW RANGE AVE",
            "address_2": "STE D",
            "city": "MADISON",
            "state": "FL",
            "postal_code": "32340",
            "telephone_number": "850-973-8116",
            "fax_number": "850-973-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURAMED MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "MCMILLER",
        "authorized_official_first_name": "BISHOP",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "850-973-8116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT REGISTERED RESPI"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "FL",
            "license": "HCC4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.