Stamen Medical Systems, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STAMEN MEDICAL SYSTEMS, LLC

Practice address

4806 Technology Dr
Martinez, GA 30907-2605

Phone

(706) 863-7100

Fax

(706) 863-8882

NPI assigned

Jun 19, 2008

Last updated

Apr 6, 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

Mr. Joseph Testino

Title

President

Phone

(706) 863-7100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1568623858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 TECHNOLOGY DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072605",
            "telephone_number": "706-863-7100",
            "fax_number": "706-863-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 TECHNOLOGY DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072605",
            "telephone_number": "706-863-7100",
            "fax_number": "706-863-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMEN MEDICAL SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "TESTINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-863-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.