Provider Demographics
NPI:1700187804
Name:MEDX INTERNATIONAL INC.
Entity Type:Organization
Organization Name:MEDX INTERNATIONAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:PSICHOPAIDAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-999-4021
Mailing Address - Street 1:225 ROCKLAND ST. - SUITE 3
Mailing Address - Street 2:MEDX INTERNATIONAL INC.
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-3136
Mailing Address - Country:US
Mailing Address - Phone:888-419-6339
Mailing Address - Fax:508-999-4085
Practice Address - Street 1:225 ROCKLAND ST. - SUITE 3
Practice Address - Street 2:MEDX INTERNATIONAL INC.
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3136
Practice Address - Country:US
Practice Address - Phone:888-419-6339
Practice Address - Fax:508-999-4085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier