Imedical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

OT7106 Issued in FL

Legal business name

IMEDICAL, INC.

Doing business as

I Medical Supplies, Inc.

Practice address

420 W State Road 434
Longwood, FL 32750-6427

Phone

(407) 331-3312

Fax

(321) 256-0664

NPI assigned

Mar 19, 2009

Last updated

Jul 15, 2010By 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

Mr. John O. Idehen, OTR/L MS COF

Title

President

Phone

(407) 331-3312

Specialties & licenses 2

Addresses

Other names 1

• I MEDICAL SUPPLIES, INC. Doing business as

Tax ID family

I Medical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• I Medical, Inc.

  dba i Medical Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Longwood, FL
  • NPI 1487898771
  NPD tax ID

Locations

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1447491493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506427",
            "telephone_number": "407-331-3312",
            "fax_number": "321-256-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506427",
            "telephone_number": "407-331-3312",
            "fax_number": "321-256-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "IDEHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-331-3312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L MS COF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "OT7106",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "OFA213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I MEDICAL SUPPLIES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Longwood, FL
• Providers in Longwood, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.