Provider Demographics
NPI:1629392451
Name:GR MEDICAL TECHNOLOGIES LLC
Entity Type:Organization
Organization Name:GR MEDICAL TECHNOLOGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-514-3729
Mailing Address - Street 1:79 DAILY DR # 503
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-5807
Mailing Address - Country:US
Mailing Address - Phone:800-514-3729
Mailing Address - Fax:888-844-0767
Practice Address - Street 1:79 DAILY DR # 503
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5807
Practice Address - Country:US
Practice Address - Phone:800-514-3729
Practice Address - Fax:888-844-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies