Stat Medical LLC
Durable Medical Equipment & Medical Supplies in Fayetteville, AR. Organization (NPI-2).
NPI number1982107728
StatusActive
Last updated in NPPESJun 12, 2023
Details
- NPI
- 1982107728
- Entity type
- Organization (NPI-2)
- Legal business name
- Stat Medical LLC
- Organization subpart
- No
- Enumeration date
- Mar 16, 2018
- Certification date
- Jun 12, 2023
- Last updated
- Jun 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | AR | Yes |
Practice location
60 E Township St Ste 5Fayetteville, AR 72703-2836
Phone 877-521-5510 · Fax 866-403-2361
Mailing address
60 E Township St Ste 5Fayetteville, AR 72703-2836
Phone 877-521-5510 · Fax 866-403-2361
Authorized official
Jon Thornton Capps
Owner
4792639433
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