Provider Demographics
NPI:1083066468
Name:I MANAGEMENT LLC
Entity Type:Organization
Organization Name:I MANAGEMENT LLC
Other - Org Name:STRATTON OKMAR LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER / COO
Authorized Official - Prefix:
Authorized Official - First Name:VINCENTE
Authorized Official - Middle Name:
Authorized Official - Last Name:HELM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-444-8266
Mailing Address - Street 1:PO BOX 1981
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40201-1981
Mailing Address - Country:US
Mailing Address - Phone:702-444-8266
Mailing Address - Fax:
Practice Address - Street 1:1034 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-3422
Practice Address - Country:US
Practice Address - Phone:702-444-8266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier