Provider Demographics
NPI:1346017035
Name:LIMITLESS REGENERATIVE, LLC
Entity Type:Organization
Organization Name:LIMITLESS REGENERATIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:K
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-268-9775
Mailing Address - Street 1:5100 BALCONES DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:346-268-9775
Mailing Address - Fax:
Practice Address - Street 1:5901 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-4533
Practice Address - Country:US
Practice Address - Phone:346-268-9775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEG
No335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier