Organization Active NPI

MRT Medical

Doing business as Ateam Medical

  • Durable Medical Equipment & Medical Supplies
  • Lexington, KY
National Provider Identifier
1316934094
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MRT MEDICAL
Doing business as
Ateam Medical
Practice address
340 Legion Dr
Suite 12
Lexington, KY 40504-2716
Phone
(859) 381-9311
Fax
(859) 225-5841
NPI assigned
Sep 29, 2005
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Mr. Samuel Lorenzo McGuire
Title
Controller
Phone
(859) 381-9311

Specialties & licenses 1

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

Addresses

Primary practice location

340 Legion Dr
Suite 12
Lexington, KY 40504-2716

Mailing address

340 Legion Dr
Suite 12
Lexington, KY 40504-2716
Phone (859) 381-9311

Other identifiers 1

IdentifierTypeStateIssuer
90000829MedicaidKY

Other names 1

  • ATEAM MEDICAL Doing business as

National Provider Directory

National Provider Directory

Locations

340 Legion Dr
Ste 12
Lexington, KY 40504
Phone (859) 381-9311

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1316934094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 LEGION DR",
            "address_2": "SUITE 12",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042716",
            "telephone_number": "859-381-9311",
            "fax_number": "859-225-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 LEGION DR",
            "address_2": "SUITE 12",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042716",
            "telephone_number": "859-381-9311",
            "fax_number": "859-225-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRT MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "859-381-9311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90000829",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATEAM MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.