Provider Demographics
NPI:1518346048
Name:NEWPATH MEDICAL LLC
Entity Type:Organization
Organization Name:NEWPATH MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:BICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-575-3394
Mailing Address - Street 1:614 BELSON CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-3073
Mailing Address - Country:US
Mailing Address - Phone:314-575-3394
Mailing Address - Fax:314-754-8503
Practice Address - Street 1:11115 NEW HALLS FERRY RD
Practice Address - Street 2:SUITE100
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-7613
Practice Address - Country:US
Practice Address - Phone:314-575-3394
Practice Address - Fax:314-754-8503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies