Provider Demographics
NPI:1114175718
Name:SB INTERNATIONAL, INC.
Entity Type:Organization
Organization Name:SB INTERNATIONAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:B
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-338-9930
Mailing Address - Street 1:2323 BAINBRIDGE ST
Mailing Address - Street 2:SUITE: 111
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70062-4108
Mailing Address - Country:US
Mailing Address - Phone:504-338-9930
Mailing Address - Fax:504-712-5562
Practice Address - Street 1:4205 ASHER CT
Practice Address - Street 2:APT: B
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-1946
Practice Address - Country:US
Practice Address - Phone:504-338-9930
Practice Address - Fax:504-712-5562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4026332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies