Provider Demographics
NPI:1114284429
Name:DARTMED LLC
Entity Type:Organization
Organization Name:DARTMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-505-3420
Mailing Address - Street 1:370 W ANCHOR DR STE 208
Mailing Address - Street 2:
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5153
Mailing Address - Country:US
Mailing Address - Phone:402-505-3420
Mailing Address - Fax:402-505-3480
Practice Address - Street 1:370 W ANCHOR DR STE 208
Practice Address - Street 2:
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5153
Practice Address - Country:US
Practice Address - Phone:402-505-3420
Practice Address - Fax:402-505-3480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-12
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies