Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Land Transport |
3416L0300X | 59 | Ambulance Service Provider | |
Non-emergency Medical Transport (VAN) |
343900000X | |||
Portable Xray Supplier |
335V00000X | 63 | Portable X-Ray Supplier |
| NPI Number | 1821066895 |
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| LBN Legal business name | MEDCORP INC. | ||||||||||||||||||||||||||||
| Authorized official | RICHARD BAGE - (PRESIDENT CEO) | ||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||
| Enumeration date | 03/08/2006 | ||||||||||||||||||||||||||||
| Last updated | 05/18/2011 - About 15 years ago | ||||||||||||||||||||||||||||
| Identifiers |
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