Provider Demographics
NPI:1790419257
Name:ABOVE & BEYOND MEDICAL CORPORATION, LLC
Entity Type:Organization
Organization Name:ABOVE & BEYOND MEDICAL CORPORATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:LOFTIS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:865-415-2740
Mailing Address - Street 1:5905 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-6344
Mailing Address - Country:US
Mailing Address - Phone:865-415-2740
Mailing Address - Fax:
Practice Address - Street 1:5905 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6344
Practice Address - Country:US
Practice Address - Phone:843-609-5733
Practice Address - Fax:865-415-2738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies