Active NPI
Medical Direct LLC
- Durable Medical Equipment & Medical Supplies
- Bothell, WA
National Provider Identifier
1376861054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 602853461
- Legal business name
- MEDICAL DIRECT LLC
- Doing business as
- Home Sleep Solutions
- Practice address
- 21222 30TH Dr SE
Suite 210
Bothell, WA 98021-7019 - Phone
- (206) 730-4026
- Fax
- (425) 820-0831
- NPI assigned
- May 5, 2010
- 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. Mike Conforto
- Title
- President
- Phone
- (206) 730-4026
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 602853461 | WA | Primary |
Addresses
Primary practice location
21222 30TH Dr SE
Suite 210
Bothell, WA 98021-7019
Mailing address
21222 30TH Dr SE
Suite 210
Bothell, WA 98021-7019
Phone (206) 730-4026
Other names 1
- Home Sleep Solutions
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273017600000",
"number": "1376861054",
"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": "980217019",
"telephone_number": "206-730-4026",
"fax_number": "425-820-0831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21222 30TH DR SE",
"address_2": "SUITE 210",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980217019",
"telephone_number": "206-730-4026",
"fax_number": "425-820-0831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL DIRECT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-05",
"last_updated": "2010-05-05",
"status": "A",
"authorized_official_last_name": "CONFORTO",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-730-4026",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": "602853461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Home Sleep Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.