Provider Demographics
NPI:1306531009
Name:PROMED SPECIALTIES
Entity type:Organization
Organization Name:PROMED SPECIALTIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:LINAHRDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-550-8814
Mailing Address - Street 1:7712 S EUDORA CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3702
Mailing Address - Country:US
Mailing Address - Phone:303-550-8814
Mailing Address - Fax:886-682-7756
Practice Address - Street 1:357 INVERNESS DR S STE A
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5882
Practice Address - Country:US
Practice Address - Phone:886-499-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies