NPIMap

Organization Active NPI

Stat Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Everett, WA
National Provider Identifier
1336199470
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
60120580415 Issued in WA
Legal business name
STAT MEDICAL INC
Practice address
2931 W Marine View Dr
Everett, WA 98201-3927
Phone
(425) 339-9393
Fax
(425) 339-9325
NPI assigned
May 11, 2006
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Michael Anthony Conforto
Title
President/Ceo
Phone
(206) 621-1982

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 60120580415 WA Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 60120580415 WA

Addresses

Primary practice location

2931 W Marine View Dr
Everett, WA 98201-3927

Mailing address

21222 30TH Dr SE
Suite 210
Bothell, WA 98021-7069
Phone (206) 621-1982

Other identifiers 5

IdentifierTypeStateIssuer
9029265MedicaidWA
9047085MedicaidWA
0066134OtherWALABOR & INDUSTRIES
9038860MedicaidWA
ST2365OtherWAREGENCE BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1336199470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21222 30TH DR SE",
            "address_2": "SUITE 210",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217069",
            "telephone_number": "206-621-1982",
            "fax_number": "425-820-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 W MARINE VIEW DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013927",
            "telephone_number": "425-339-9393",
            "fax_number": "425-339-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "CONFORTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "206-621-1982"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "60120580415",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": "60120580415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029265",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9047085",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0066134",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9038860",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "ST2365",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.