Provider Demographics
NPI:1275737678
Name:ADORNO ROGERS TECHNOLOGY
Entity Type:Organization
Organization Name:ADORNO ROGERS TECHNOLOGY
Other - Org Name:ADORNO MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REIMBURSEMENT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-474-7267
Mailing Address - Street 1:PO BOX 81557
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78708-1557
Mailing Address - Country:US
Mailing Address - Phone:512-474-7267
Mailing Address - Fax:
Practice Address - Street 1:2701 W EDGEWOOD DR
Practice Address - Street 2:SUITE 102
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-5868
Practice Address - Country:US
Practice Address - Phone:573-634-2991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADORNO ROGERS TECHNOLOGY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-12
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment