Organization Active NPI

Allstars Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Seattle, WA
National Provider Identifier
1295915833
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
602759959 Issued in WA
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

Updated by the provider on Sep 11, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.