Provider Demographics
NPI:1376861054
Name:MEDICAL DIRECT LLC
Entity Type:Organization
Organization Name:MEDICAL DIRECT LLC
Other - Org Name:HOME SLEEP SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONFORTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-730-4026
Mailing Address - Street 1:21222 30TH DR SE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-7019
Mailing Address - Country:US
Mailing Address - Phone:206-730-4026
Mailing Address - Fax:425-820-0831
Practice Address - Street 1:21222 30TH DR SE
Practice Address - Street 2:SUITE 210
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-7019
Practice Address - Country:US
Practice Address - Phone:206-730-4026
Practice Address - Fax:425-820-0831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602853461332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies