Provider Demographics
NPI:1548580921
Name:INDEPENDENT MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:INDEPENDENT MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CHAD
Authorized Official - Last Name:TRULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-381-0081
Mailing Address - Street 1:2330 DECATUR HWY
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2396
Mailing Address - Country:US
Mailing Address - Phone:205-631-8915
Mailing Address - Fax:205-631-1105
Practice Address - Street 1:2330 DECATUR HWY
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2396
Practice Address - Country:US
Practice Address - Phone:205-631-8915
Practice Address - Fax:205-631-1105
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INVESTMENT STRATEGIES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-08
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL6462260001Medicare NSC