Active NPI
Allstars Medical Equipment Inc
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
National Provider Identifier
1295915833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 602759959
- Legal business name
- ALLSTARS MEDICAL EQUIPMENT INC
- Practice address
- 3202 15TH Ave W
Seattle, WA 98119-1705 - Phone
- (206) 708-7672
- Fax
- (206) 327-9473
- NPI assigned
- Nov 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrey Yuryevich Mityanin
- Title
- President
- Phone
- (206) 708-7672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 602759959 | WA | Primary |
Addresses
Primary practice location
3202 15TH Ave W
Seattle, WA 98119-1705
Mailing address
3202 15TH Ave W
Seattle, WA 98119-1705
Phone (206) 708-7672
National Provider Directory
National Provider DirectoryLocations
3202 15th Ave W
Seattle, WA 98119
Phone (206) 708-7672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1295915833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 15TH AVE W",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981191705",
"telephone_number": "206-708-7672",
"fax_number": "206-327-9473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3202 15TH AVE W",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981191705",
"telephone_number": "206-708-7672",
"fax_number": "206-327-9473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLSTARS MEDICAL EQUIPMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-12",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "MITYANIN",
"authorized_official_first_name": "ANDREY",
"authorized_official_middle_name": "YURYEVICH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-708-7672",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": "602759959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.