Active NPI
MRT Medical
Doing business as Ateam Medical
- Durable Medical Equipment & Medical Supplies
- Lexington, KY
National Provider Identifier
1316934094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 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. Samuel Lorenzo McGuire
- Title
- Controller
- Phone
- (859) 381-9311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90000829 | Medicaid | KY |
Other names 1
- ATEAM MEDICAL
National Provider Directory
National Provider DirectoryLocations
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.