Provider Demographics
NPI:1477889087
Name:REAL TIME MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:REAL TIME MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUGHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-997-3451
Mailing Address - Street 1:1301 BROADWAY ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-2503
Mailing Address - Country:US
Mailing Address - Phone:815-801-3200
Mailing Address - Fax:270-443-3333
Practice Address - Street 1:1301 BROADWAY ST
Practice Address - Street 2:SUITE 250
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-2503
Practice Address - Country:US
Practice Address - Phone:815-801-3200
Practice Address - Fax:270-443-3333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies