Organization Active NPI

Stat Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Woodinville, WA
National Provider Identifier
1548454929
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STAT MEDICAL, INC
Practice address
14031 NE Woodinville Duvall Rd
Woodinville, WA 98072-8504
Phone
(206) 621-1982
Fax
(425) 481-8365
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Mary Angela McDermott
Title
Customer Accounts Manager
Phone
(425) 216-3933

Specialties & licenses 1

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

Addresses

Primary practice location

14031 NE Woodinville Duvall Rd
Woodinville, WA 98072-8504

Mailing address

21222 30TH Dr SE
Suite 210
Bothell, WA 98021-7019
Phone (206) 621-1982

Other identifiers 4

IdentifierTypeStateIssuer
9029265MedicaidWA
ST2365OtherREGENCE BLUE SHIELD
9047085MedicaidWA
9038860MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Stat 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.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1548454929",
    "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": "206-621-1982",
            "fax_number": "425-820-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14031 NE WOODINVILLE DUVALL RD",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728504",
            "telephone_number": "206-621-1982",
            "fax_number": "425-481-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "CUSTOMER ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "425-216-3933"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029265",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "ST2365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9047085",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9038860",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.