Provider Demographics
NPI:1083890685
Name:REM MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:REM MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-491-1065
Mailing Address - Street 1:190 QUEEN ANNE AVE N
Mailing Address - Street 2:STE 250
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4968
Mailing Address - Country:US
Mailing Address - Phone:206-285-5100
Mailing Address - Fax:
Practice Address - Street 1:4545 E CHANDLER BLVD
Practice Address - Street 2:STE 202
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-7643
Practice Address - Country:US
Practice Address - Phone:480-991-0480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REM MEDICAL CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies