Provider Demographics
NPI:1124343397
Name:MEDEX INC.
Entity type:Organization
Organization Name:MEDEX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:CHRIS
Authorized Official - Last Name:READSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-264-6694
Mailing Address - Street 1:19881 BROOKHURST ST
Mailing Address - Street 2:SUITE C-265
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-4269
Mailing Address - Country:US
Mailing Address - Phone:714-264-6694
Mailing Address - Fax:714-200-0690
Practice Address - Street 1:19881 BROOKHURST ST
Practice Address - Street 2:SUITE C-265
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-4269
Practice Address - Country:US
Practice Address - Phone:714-264-6694
Practice Address - Fax:714-200-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies