Provider Demographics
NPI:1659671378
Name:COMPUMED, INC.
Entity Type:Organization
Organization Name:COMPUMED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOANE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHRISTIANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-868-2555
Mailing Address - Street 1:3909 FOOTHILL DR
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-5376
Mailing Address - Country:US
Mailing Address - Phone:307-868-2555
Mailing Address - Fax:
Practice Address - Street 1:3909 FOOTHILL DR
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-5376
Practice Address - Country:US
Practice Address - Phone:307-868-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies