Provider Demographics
NPI:1114252285
Name:ABITOL MICRO-MED CORPORATION
Entity Type:Organization
Organization Name:ABITOL MICRO-MED CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADELAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-221-7155
Mailing Address - Street 1:10935 ESTATE LN
Mailing Address - Street 2:SUITE 330
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2316
Mailing Address - Country:US
Mailing Address - Phone:214-221-7155
Mailing Address - Fax:214-221-7275
Practice Address - Street 1:10935 ESTATE LN
Practice Address - Street 2:SUITE 330
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2316
Practice Address - Country:US
Practice Address - Phone:214-221-7155
Practice Address - Fax:214-221-7275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies