Provider Demographics
NPI:1205135480
Name:RMDDXUSA CORP
Entity type:Organization
Organization Name:RMDDXUSA CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:TIRJAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-861-6339
Mailing Address - Street 1:100 MATSONFORD RD
Mailing Address - Street 2:THREE RADNOR CORPORATE CENTER SUITE 302
Mailing Address - City:RADNOR
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4559
Mailing Address - Country:US
Mailing Address - Phone:610-688-9100
Mailing Address - Fax:877-343-6329
Practice Address - Street 1:100 MATSONFORD RD
Practice Address - Street 2:THREE RADNOR CORPORATE CENTER SUITE 302
Practice Address - City:RADNOR
Practice Address - State:PA
Practice Address - Zip Code:19087-4559
Practice Address - Country:US
Practice Address - Phone:610-688-9100
Practice Address - Fax:877-343-6329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-27
Last Update Date:2011-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory