Provider Demographics
NPI:1720251267
Name:RI, LLC
Entity Type:Organization
Organization Name:RI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:LAKY
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:866-738-6552
Mailing Address - Street 1:5452 W CRENSHAW ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-3007
Mailing Address - Country:US
Mailing Address - Phone:866-738-6552
Mailing Address - Fax:813-249-0940
Practice Address - Street 1:5452 W CRENSHAW ST
Practice Address - Street 2:SUITE 6
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33634-3007
Practice Address - Country:US
Practice Address - Phone:866-738-6552
Practice Address - Fax:813-249-0940
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MSL ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-04
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies