RSD Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RSD MEDICAL SUPPLY INC

Practice address

136 N la Grange Rd
Ste a
La Grange, IL 60525-2059

Phone

(708) 352-2101

Fax

(708) 352-2103

NPI assigned

Oct 30, 2014

Last updated

Oct 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Eden Alison Bocatcat

Title

Manager

Phone

(708) 352-2102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1407251648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N LA GRANGE RD",
            "address_2": "STE A",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252059",
            "telephone_number": "708-352-2101",
            "fax_number": "708-352-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N LA GRANGE RD",
            "address_2": "STE A",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252059",
            "telephone_number": "708-352-2101",
            "fax_number": "708-352-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSD MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "BOCATCAT",
        "authorized_official_first_name": "EDEN",
        "authorized_official_middle_name": "ALISON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-352-2102",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.