Organization Active NPI

Stat Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Spokane, WA
National Provider Identifier
1932159241
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
60120580419 Issued in WA
Legal business name
STAT MEDICAL INC
Practice address
3410 E Desmet Ave
Suite B
Spokane, WA 99202-4514
Phone
(509) 536-7626
Fax
(509) 536-7629
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Michael Anthony Conforto
Title
President/Ceo
Phone
(206) 621-1982

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 60120580419 WA Primary
Customized Equipment (DME) 332BC3200X 60120580419 WA
Nursing Facility Supplies (DME) 332BN1400X 60120580419 WA
Oxygen Equipment & Supplies (DME) 332BX2000X 60120580419 WA

Addresses

Primary practice location

3410 E Desmet Ave
Suite B
Spokane, WA 99202-4514

Mailing address

21222 30TH Dr SE
Suite 210
Bothell, WA 98021-7069
Phone (206) 621-1982

Other identifiers 5

IdentifierTypeStateIssuer
9047085MedicaidWA
9029265MedicaidWA
ST2365OtherWAREGENCE BLUE SHIELD
066134OtherWALABOR & INDUSTRIES
9038860MedicaidWA

National Provider Directory

National Provider Directory

Locations

4710 B St NW
Ste 104
Auburn, WA 98001
Phone (253) 395-2630

20038 68th Ave S
Ste 101
Kent, WA 98032
Phone (253) 395-2630

14031 NE Woodinville Duvall Rd
Woodinville, WA 98072
Phone (206) 621-1982

3411 Fruitvale Blvd
Yakima, WA 98902
Phone (509) 972-3989

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1932159241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21222 30TH DR SE",
            "address_2": "SUITE 210",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217069",
            "telephone_number": "206-621-1982",
            "fax_number": "425-820-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 E DESMET AVE",
            "address_2": "SUITE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024514",
            "telephone_number": "509-536-7626",
            "fax_number": "509-536-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "CONFORTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "206-621-1982"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "60120580419",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "60120580419",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "WA",
            "license": "60120580419",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": "60120580419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9047085",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029265",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "ST2365",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "066134",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9038860",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.