Basic Information
Provider Information
NPI: 1407197585
EntityType: 2
ReplacementNPI:  
OrganizationName: RMED LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
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Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: PO BOX 1239
Address2:  
City: TROY
State: MI
PostalCode: 480991239
CountryCode: US
TelephoneNumber: 2488246600
FaxNumber: 2483241477
Practice Location
Address1: 4348 SOUTHPOINT BLVD
Address2: SUITE#100
City: JACKSONVILLE
State: FL
PostalCode: 322160986
CountryCode: US
TelephoneNumber: 9042811915
FaxNumber: 9042811119
Other Information
ProviderEnumerationDate: 03/14/2013
LastUpdateDate: 07/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: PATEL
AuthorizedOfficialFirstName: RAJIV
AuthorizedOfficialMiddleName: N
AuthorizedOfficialTitleorPosition: CEO/AUTHORIZED OFFICIAL
AuthorizedOfficialTelephone: 2488246169
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
335V00000X  Y SuppliersPortable X-Ray Supplier 

No ID Information.


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