Provider Demographics
NPI:1700832169
Name:ADAMED, INC.
Entity Type:Organization
Organization Name:ADAMED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:UHLENBROCK
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:314-963-1800
Mailing Address - Street 1:9131 WATSON INDUSTRIAL PARK
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-1530
Mailing Address - Country:US
Mailing Address - Phone:314-963-1800
Mailing Address - Fax:314-963-1843
Practice Address - Street 1:9131 WATSON INDUSTRIAL PARK
Practice Address - Street 2:SUITE 104
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-1530
Practice Address - Country:US
Practice Address - Phone:314-963-1800
Practice Address - Fax:314-963-1843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
MO4923150002Medicare ID - Type UnspecifiedPART B PROVIDER NUMBER