Provider Demographics
NPI:1942618491
Name:DIAMEDIX HEALTHCARE, LLC
Entity Type:Organization
Organization Name:DIAMEDIX HEALTHCARE, LLC
Other - Org Name:CAREPOINT MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EVP/COO
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:TADIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-747-8900
Mailing Address - Street 1:4860 COX RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9275
Mailing Address - Country:US
Mailing Address - Phone:804-747-8900
Mailing Address - Fax:804-592-2440
Practice Address - Street 1:2700 CORPORATE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-2732
Practice Address - Country:US
Practice Address - Phone:804-747-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier