Healthcare Provider Details
I. General information
NPI: 1285805085
Provider Name (Legal Business Name): MONITOR MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2008
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7506 SLATE RIDGE BLVD
REYNOLDSBURG OH
43068
US
IV. Provider business mailing address
12999 JESS PIRTLE BLVD
SUGAR LAND TX
77478-2851
US
V. Phone/Fax
- Phone: 614-322-2200
- Fax: 281-240-1164
- Phone: 281-240-2222
- Fax: 281-240-1164
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | HMEL 11283 |
| License Number State | OH |
VIII. Authorized Official
Name: MR.
RICHARD
E
WEBB
Title or Position: PRESIDENT
Credential: CRT, RRT
Phone: 281-240-7222