Active NPI
Custom Tecnhology Co., Inc.
- Durable Medical Equipment & Medical Supplies
- Yakima, WA
National Provider Identifier
1801033758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 600623656
- Legal business name
- CUSTOM TECNHOLOGY CO., INC.
- Practice address
- 460 McLaughlin Rd
Yakima, WA 98908-9659 - Phone
- (509) 965-3333
- Fax
- (509) 965-9309
- NPI assigned
- Jan 14, 2009
- 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
- B Robert Bader
- Title
- President
- Phone
- (509) 965-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 600623656 | WA | Primary |
Addresses
Primary practice location
460 McLaughlin Rd
Yakima, WA 98908-9659
Mailing address
460 McLaughlin Rd
Yakima, WA 98908-9659
Phone (509) 965-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1202090 | Other | FL | PMSI |
National Provider Directory
National Provider DirectoryLocations
460 McLaughlin Rd
Yakima, WA 98908
Phone (509) 965-3333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231891200000",
"number": "1801033758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 MCLAUGHLIN RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989089659",
"telephone_number": "509-965-3333",
"fax_number": "509-965-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 MCLAUGHLIN RD",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989089659",
"telephone_number": "509-965-3333",
"fax_number": "509-965-9309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM TECNHOLOGY CO., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-14",
"last_updated": "2009-01-14",
"status": "A",
"authorized_official_last_name": "BADER",
"authorized_official_first_name": "B",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "509-965-3333"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": "600623656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PMSI",
"identifier": "1202090",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.