Provider Demographics
NPI:1144465808
Name:ARDUS MEDICAL INC
Entity type:Organization
Organization Name:ARDUS MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-469-7867
Mailing Address - Street 1:11297 GROOMS RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-1428
Mailing Address - Country:US
Mailing Address - Phone:513-469-7867
Mailing Address - Fax:513-469-2329
Practice Address - Street 1:11297 GROOMS RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-1428
Practice Address - Country:US
Practice Address - Phone:513-469-7867
Practice Address - Fax:513-469-2329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies