Active NPI
Stat Medical, Inc
- Durable Medical Equipment & Medical Supplies
- Woodinville, WA
National Provider Identifier
1548454929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9029265 | Medicaid | WA | |
| ST2365 | Other | REGENCE BLUE SHIELD | |
| 9047085 | Medicaid | WA | |
| 9038860 | Medicaid | WA |
National Provider Directory
National Provider Directory- Tax ID family
- Stat Medical Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Bellingham, WA
- NPI 1801845417
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.