MEDICARE: MEDICOMP 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	293D00000X	Physiological Laboratory
2	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

General Provider Information

NPI Number	:	1598092942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICOMP INC

Provider Business Mailing Address
First Line	:	600 ATLANTIS RD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32904-2315
Country	:	US
Telephone Number	:	800-234-3278
Fax Number	:	866-294-3975

Provider Business Practice Location Address
First Line	:	16701 MELFORD BLVD STE 400
Second Line	:	ROOM 447
City	:	BOWIE
State	:	MD
Zip	:	20715-4411
Country	:	US
Telephone Number	:	301-476-9329
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	STEVE FELDMAN
Credential	:
Telephone Number	:	321-676-0010

Provider Enumeration Date	:	11/05/2009
Last Update Date	:	01/07/2026

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