Healthcare Provider Details

I. General information

NPI: 1740557917
Provider Name (Legal Business Name): RMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4348 SOUTHPOINT BLVD., SUITE 100C
JACKSONVILLE FL
32216-0903
US

IV. Provider business mailing address

PO BOX 1239
TROY MI
48099-1239
US

V. Phone/Fax

Practice location:
  • Phone: 800-759-7291
  • Fax: 855-618-6655
Mailing address:
  • Phone: 800-759-7291
  • Fax: 855-618-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: RAJIV N PATEL
Title or Position: CEO/AUTHORIZED OFFICIAL
Credential: MD
Phone: 248-824-6169