Rediclinic Of De, LLC
Clinic/Center in Wilmington, DE. Organization (NPI-2).
NPI number1023487535
StatusActive
Last updated in NPPESMar 21, 2020
Details
- NPI
- 1023487535
- Entity type
- Organization (NPI-2)
- Legal business name
- Rediclinic Of De, LLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2015
- Certification date
- Mar 21, 2020
- Last updated
- Mar 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
1718 Marsh RdWilmington, DE 19810-4606
Phone 713-335-1754 · Fax 713-358-4870
Mailing address
9 Greenway PlzSte. 2950
Houston, TX 77046-0905
Phone 713-335-1754 · Fax 713-358-4870
Authorized official
Jennifer M Zorek
Sr Manager
7179755937
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