Provider Demographics
NPI:1356750574
Name:EBI, LLC
Entity type:Organization
Organization Name:EBI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP & GM
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BINETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-213-7436
Mailing Address - Street 1:3535 GRANDVIEW PKWY
Mailing Address - Street 2:GRANDVIEW I OFFICE BUILDING, SUITE 225
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-1945
Mailing Address - Country:US
Mailing Address - Phone:973-299-9300
Mailing Address - Fax:
Practice Address - Street 1:3535 GRANDVIEW PKWY
Practice Address - Street 2:GRANDVIEW I OFFICE BUILDING, SUITE 225
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-1945
Practice Address - Country:US
Practice Address - Phone:973-299-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-13
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5002755332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0504210001Medicare NSC