Provider Demographics
NPI:1841663648
Name:INTERNATIONAL MEDICAL TECHNOLOGIES
Entity type:Organization
Organization Name:INTERNATIONAL MEDICAL TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-545-6936
Mailing Address - Street 1:210 SHADY OAK ST
Mailing Address - Street 2:
Mailing Address - City:SARALAND
Mailing Address - State:AL
Mailing Address - Zip Code:36571-9432
Mailing Address - Country:US
Mailing Address - Phone:251-545-6936
Mailing Address - Fax:
Practice Address - Street 1:210 SHADY OAK ST
Practice Address - Street 2:
Practice Address - City:SARALAND
Practice Address - State:AL
Practice Address - Zip Code:36571-9432
Practice Address - Country:US
Practice Address - Phone:251-545-6936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies