NPI 1841049574
Medi-Drive, LLC
Practice location
- Address
- 15406 Meridian E STE 206, Puyallup, WA 98375-9504
- Phone
- (253) 306-4173
- Mailing address
- 9109 120th Street CT E, Puyallup, WA 98373-7907
Authorised official
- Name
- Golden Jarom Omli
- Title
- Owner/Partner
- Phone
- (253) 306-4176
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1841049574
- Entity type
- Organization
- NPI issued
- 15 May 2024
- Record last updated
- 15 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.