Provider Demographics
NPI:1528776564
Name:RUME MEDICAL GROUP, INC.
Entity type:Organization
Organization Name:RUME MEDICAL GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:ABINANTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:714-916-5210
Mailing Address - Street 1:2729 BRISTOL ST
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-7930
Mailing Address - Country:US
Mailing Address - Phone:714-340-1322
Mailing Address - Fax:714-880-7111
Practice Address - Street 1:2729 BRISTOL ST
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-7930
Practice Address - Country:US
Practice Address - Phone:657-256-8995
Practice Address - Fax:866-461-2312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory