Medi-Drive, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MEDI-DRIVE, LLC

Practice address

15406 Meridian E Ste 206
Puyallup, WA 98375-9504

Phone

(253) 306-4173

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Golden Jarom Omli

Title

Owner/Partner

Phone

(253) 306-4176

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1841049574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9109 120TH STREET CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983737907",
            "telephone_number": "253-306-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15406 MERIDIAN E STE 206",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759504",
            "telephone_number": "253-306-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-DRIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "OMLI",
        "authorized_official_first_name": "GOLDEN",
        "authorized_official_middle_name": "JAROM",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "253-306-4176"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Owen McNicoll, M.D.
• Susan Jo McPhee
• Sunshine McTernen
• Angela Meach, MA, LMHCA
• Kimberly Meade, LMFT
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
• Medical Imaging Northwest, LLP
• Medical Imaging Northwest, LLP
• Alfredo Medina

• Non-emergency Medical Transport (VAN) in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Non-emergency Medical Transport (VAN) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.