Organization Active NPI

Medical Rentals LLC

  • Durable Medical Equipment & Medical Supplies
  • Tacoma, WA
National Provider Identifier
1366437329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL RENTALS LLC
Practice address
1215 S Union Ave
Tacoma, WA 98405-1923
Phone
(253) 752-3066
Fax
(253) 759-9816
NPI assigned
Sep 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Fredkin Lavick
Title
Owner
Phone
(253) 752-3066

Specialties & licenses 1

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

Addresses

Primary practice location

1215 S Union Ave
Tacoma, WA 98405-1923

Mailing address

1215 S Union Ave
Tacoma, WA 98405-1923
Phone (253) 752-3066

Other identifiers 3

IdentifierTypeStateIssuer
ME0547OtherREGENCE
9050469MedicaidWA
135454OtherL & I

National Provider Directory

National Provider Directory

Locations

1215 S Union Ave
Tacoma, WA 98405
Phone (253) 752-3066

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366437329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051923",
            "telephone_number": "253-752-3066",
            "fax_number": "253-759-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051923",
            "telephone_number": "253-752-3066",
            "fax_number": "253-759-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL RENTALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAVICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FREDKIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-752-3066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "ME0547",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9050469",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "135454",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.