Provider Demographics
NPI:1053357905
Name:ADVANCED RESPIRATORY, INC.
Entity type:Organization
Organization Name:ADVANCED RESPIRATORY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EVP AND PRESIDENT, HEALTHCARE SYSTE
Authorized Official - Prefix:
Authorized Official - First Name:REAZUR
Authorized Official - Middle Name:
Authorized Official - Last Name:RASUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-823-6722
Mailing Address - Street 1:1020 COUNTY ROAD F W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55126-2910
Mailing Address - Country:US
Mailing Address - Phone:800-426-4224
Mailing Address - Fax:651-766-2797
Practice Address - Street 1:1020 COUNTY ROAD F W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55126-2910
Practice Address - Country:US
Practice Address - Phone:800-426-4224
Practice Address - Fax:651-766-2797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN775363200Medicaid
MN0828240001Medicare NSC