Provider Demographics
NPI:1861434227
Name:TAL-MED INC
Entity type:Organization
Organization Name:TAL-MED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:HENDERSON
Authorized Official - Last Name:ALABRABA
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:913-281-5557
Mailing Address - Street 1:1401 FAIRFAX TRFY STE 369D
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66115-1487
Mailing Address - Country:US
Mailing Address - Phone:913-281-5557
Mailing Address - Fax:913-281-5557
Practice Address - Street 1:1401 FAIRFAX TRFY STE 369D
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66115-1487
Practice Address - Country:US
Practice Address - Phone:913-281-5557
Practice Address - Fax:913-281-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6060461332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS5627570001Medicare NSC