MEDICARE: DURATECH MEDICAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1060	OTHER	AL	HOME MEDICAL EQUIPMENT SERVICES PROVIDER

General Provider Information

NPI Number	:	1871812560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DURATECH MEDICAL, INC.

Provider Business Mailing Address
First Line	:	2382 FARADAY AVENUE
Second Line	:	SUITE 300
City	:	CARLSBAD
State	:	CA
Zip	:	92008-7220
Country	:	US
Telephone Number	:	760-795-5440
Fax Number	:	214-501-0299

Provider Business Practice Location Address
First Line	:	3810 SULLIVAN ST STE J-K
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-1762
Country	:	US
Telephone Number	:	256-288-0990
Fax Number	:	800-454-9615

Authorized Official
Title or Position	:	CEO
Name	:	DAVE MOWRY
Credential	:
Telephone Number	:	760-795-5440

Provider Enumeration Date	:	05/20/2010
Last Update Date	:	03/06/2025

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Directions to “DURATECH MEDICAL, INC. ” Practice Location

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