Organization Active NPI

1St Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Tukwila, WA
National Provider Identifier
1730112533
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
60256129211 Issued in WA
Legal business name
1ST MEDICAL LLC
Practice address
607 Strander Blvd
Tukwila, WA 98188-2922
Phone
(206) 302-7220
Fax
(206) 302-7221
NPI assigned
Jul 8, 2006
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Mr. Cale Matthew Mabbott
Title
Owner/Technician
Phone
(206) 302-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 60256129211 WA Primary

Addresses

Primary practice location

607 Strander Blvd
Tukwila, WA 98188-2922

Mailing address

607 Strander Blvd
Tukwila, WA 98188-2922
Phone (206) 302-7220

National Provider Directory

National Provider Directory
Tax ID family
1St Medical2 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.

Locations

607 Strander Blvd
Tukwila, WA 98188
Phone (206) 302-7220

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1730112533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 STRANDER BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882922",
            "telephone_number": "206-302-7220",
            "fax_number": "206-302-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 STRANDER BLVD",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882922",
            "telephone_number": "206-302-7220",
            "fax_number": "206-302-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "MABBOTT",
        "authorized_official_first_name": "CALE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/TECHNICIAN",
        "authorized_official_telephone_number": "206-302-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "60256129211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.