Provider Demographics
NPI:1821844135
Name:TECHNICAL MEDICAL LLC
Entity type:Organization
Organization Name:TECHNICAL MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-622-8010
Mailing Address - Street 1:355 CORTONO DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4294
Mailing Address - Country:US
Mailing Address - Phone:775-622-8010
Mailing Address - Fax:702-602-9500
Practice Address - Street 1:898 MAESTRO DR STE 101
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2397
Practice Address - Country:US
Practice Address - Phone:775-622-8010
Practice Address - Fax:702-602-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1881306793Medicaid