Provider Demographics
NPI:1659690063
Name:LMR MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:LMR MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DOMINGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-818-8166
Mailing Address - Street 1:167 W BOUGHTON RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-1936
Mailing Address - Country:US
Mailing Address - Phone:630-679-0382
Mailing Address - Fax:630-679-9765
Practice Address - Street 1:167 W BOUGHTON RD
Practice Address - Street 2:SUITE C
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-1936
Practice Address - Country:US
Practice Address - Phone:630-679-0382
Practice Address - Fax:630-679-9765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies