SRS Medical Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SRS MEDICAL CORP.

Practice address

8672 154TH Ave NE
Redmond, WA 98052-3556

Phone

(425) 882-1101

Fax

(425) 882-1935

NPI assigned

Oct 16, 2009

Last updated

Oct 16, 2009By 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

Kevin Connolly

Title

Ceo

Phone

(425) 882-1101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1518292028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8672 154TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523556",
            "telephone_number": "425-882-1101",
            "fax_number": "425-882-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8672 154TH AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523556",
            "telephone_number": "425-882-1101",
            "fax_number": "425-882-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRS MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-882-1101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Redmond, WA
• Providers in Redmond, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.