Healthcare Provider Details

I. General information

NPI: 1518266048
Provider Name (Legal Business Name): RMDDXUSA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 08/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 DRY HILL ROAD WIRELESSDX CARDIAC MONITORING SERVICE CENTER
HYDEN KY
41749-8929
US

IV. Provider business mailing address

105 DRY HILL ROAD WIRELESSDX CARDIAC MONITORING SERVICE CENTER
HYDEN KY
41749-8929
US

V. Phone/Fax

Practice location:
  • Phone: 606-672-2600
  • Fax: 606-672-2604
Mailing address:
  • Phone: 606-672-2600
  • Fax: 606-672-2604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL J TIRJAN
Title or Position: PRESIDENT & CEO
Credential:
Phone: 610-688-9100