Organization Active NPI

Allumed, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Grand Prairie, TX
National Provider Identifier
1184689853
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALLUMED, INC.
Practice address
2001 108TH St Ste 104
Ste 104
Grand Prairie, TX 75050-1429
Phone
(214) 677-0186
Fax
(214) 677-0157
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeffrey Matukewicz
Title
Secretary
Phone
(423) 756-2268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

2001 108TH St Ste 104
Ste 104
Grand Prairie, TX 75050-1429

Mailing address

5959 Shallowford Rd Ste 443
Chattanooga, TN 37421-2245
Phone (423) 756-2268

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184689853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 SHALLOWFORD RD STE 443",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212245",
            "telephone_number": "423-756-2268",
            "fax_number": "423-362-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 108TH ST STE 104",
            "address_2": "STE 104",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501429",
            "telephone_number": "214-677-0186",
            "fax_number": "214-677-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLUMED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "MATUKEWICZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "423-756-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.