Provider Demographics
NPI:1255357406
Name:MEDPRO SERVICES, LLC
Entity type:Organization
Organization Name:MEDPRO SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSITA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPIER-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-589-6167
Mailing Address - Street 1:436 S 7TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40203-1981
Mailing Address - Country:US
Mailing Address - Phone:502-589-6167
Mailing Address - Fax:502-589-6170
Practice Address - Street 1:436 S 7TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-1981
Practice Address - Country:US
Practice Address - Phone:502-589-6167
Practice Address - Fax:502-589-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251300000XAgenciesLocal Education Agency (LEA)
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5731040001Medicare NSC