Provider Demographics
NPI:1083966501
Name:J & L MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:J & L MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:LOYER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MS, RRT
Authorized Official - Phone:203-757-4991
Mailing Address - Street 1:199 PARK ROAD EXT
Mailing Address - Street 2:SUITE A
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-1833
Mailing Address - Country:US
Mailing Address - Phone:888-757-4991
Mailing Address - Fax:
Practice Address - Street 1:201 PARK AVE
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-3347
Practice Address - Country:US
Practice Address - Phone:203-757-4991
Practice Address - Fax:203-757-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT4668630005OtherMEDICARE PTAN