Provider Demographics
NPI:1720251598
Name:SCIMEDICA GROUP LLC
Entity Type:Organization
Organization Name:SCIMEDICA GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEMICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-828-1900
Mailing Address - Street 1:20 E 2ND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1880
Mailing Address - Country:US
Mailing Address - Phone:610-832-9955
Mailing Address - Fax:
Practice Address - Street 1:20 E 2ND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1880
Practice Address - Country:US
Practice Address - Phone:610-832-9955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies