Provider Demographics
NPI:1548618101
Name:MEDCO RESPIRATORY INSTRUMENTS, INC
Entity Type:Organization
Organization Name:MEDCO RESPIRATORY INSTRUMENTS, INC
Other - Org Name:EPIC MEDICAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLESWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:480-883-1188
Mailing Address - Street 1:2460 E GERMANN RD STE 18
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-1573
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5731 RITTIMAN PLZ BLDG 1
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-5220
Practice Address - Country:US
Practice Address - Phone:800-245-3816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition