Active NPI
Stat Medical Inc
- Durable Medical Equipment & Medical Supplies
- Spokane, WA
National Provider Identifier
1932159241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 60120580419
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9047085 | Medicaid | WA | |
| 9029265 | Medicaid | WA | |
| ST2365 | Other | WA | REGENCE BLUE SHIELD |
| 066134 | Other | WA | LABOR & INDUSTRIES |
| 9038860 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.