Provider Demographics
NPI:1275773889
Name:ALL STAR MEDICAL, LLC.
Entity Type:Organization
Organization Name:ALL STAR MEDICAL, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-533-1181
Mailing Address - Street 1:615 CLINTON AVE W # 18947
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5532
Mailing Address - Country:US
Mailing Address - Phone:256-533-1181
Mailing Address - Fax:256-533-4414
Practice Address - Street 1:8089 HIGHWAY 72 W
Practice Address - Street 2:SUITE E
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9530
Practice Address - Country:US
Practice Address - Phone:256-217-1966
Practice Address - Fax:256-217-1965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL878332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5496310003Medicare NSC