Edima Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

12Q-238 Issued in MN

Legal business name

EDIMA CORPORATION

Doing business as

Edima Medical Supply

Practice address

22800 Claire CT
Rogers, MN 55374-4541

Phone

(763) 219-8381

Fax

(763) 390-6799

NPI assigned

Feb 28, 2007

Last updated

Aug 22, 2020By 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. Yomi Taofik Okematti

Title

President

Phone

(763) 219-8381

Specialties & licenses 1

Addresses

Other names 1

• Edima Medical Supply Doing business as

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750418562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22800 CLAIRE CT",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744541",
            "telephone_number": "763-219-8381",
            "fax_number": "763-390-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22800 CLAIRE CT",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744541",
            "telephone_number": "763-219-8381",
            "fax_number": "763-390-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIMA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKEMATTI",
        "authorized_official_first_name": "YOMI",
        "authorized_official_middle_name": "TAOFIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-219-8381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "12Q-238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edima Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Rogers, MN
• Providers in Rogers, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• 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.