Provider Demographics
NPI:1952356826
Name:NORTH AMERICAN TECHNOLOGY SERVICES, INC.
Entity Type:Organization
Organization Name:NORTH AMERICAN TECHNOLOGY SERVICES, INC.
Other - Org Name:THE DIABETIC SERVICE FOUNDATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:OBERDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-545-4288
Mailing Address - Street 1:4711 34TH ST N UNIT C
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-3060
Mailing Address - Country:US
Mailing Address - Phone:727-545-4288
Mailing Address - Fax:727-544-8530
Practice Address - Street 1:4711 34TH ST N UNIT C
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-3060
Practice Address - Country:US
Practice Address - Phone:727-545-4288
Practice Address - Fax:727-544-8530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH16487332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4483934Medicaid
CO90756258Medicaid
LA1554502Medicaid
KY90004920Medicaid
OH2317264Medicaid
VA8945896Medicaid
GA00944237AMedicaid
MS2423040Medicaid
PA1948680Medicaid
IA524447Medicaid
NM77385Medicaid
AL9981710Medicaid
IL=========001Medicaid
AL9981710Medicaid