Provider Demographics
NPI:1184042111
Name:MEDTIX, LLC
Entity Type:Organization
Organization Name:MEDTIX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-645-8070
Mailing Address - Street 1:16337 COASTAL HWY
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3607
Mailing Address - Country:US
Mailing Address - Phone:302-645-8070
Mailing Address - Fax:302-645-8870
Practice Address - Street 1:1006 W STATE COLLEGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-6513
Practice Address - Country:US
Practice Address - Phone:302-645-8070
Practice Address - Fax:302-645-8870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies