Perfusion Technologies

Primary specialty

TechnicianTaxonomy code 374700000X

License

RN234035 Issued in OH

Legal business name

PERFUSION TECHNOLOGIES

Practice address

4384 Lac Lamen Dr
Dayton, OH 45458-5400

Phone

(937) 436-2880

Fax

(937) 436-2880

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rhonda J. Konicki, RN, BSN

Title

Chief Operating Officer

Phone

(937) 436-2880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699824284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4384 LAC LAMEN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454585400",
            "telephone_number": "937-436-2880",
            "fax_number": "937-436-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4384 LAC LAMEN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454585400",
            "telephone_number": "937-436-2880",
            "fax_number": "937-436-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFUSION TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KONICKI",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "937-436-2880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician",
            "state": "OH",
            "license": "RN234035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Technician in Dayton, OH
• Providers in Dayton, OH by specialty
• Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.