Provider Demographics
NPI:1811141013
Name:CONCEIVEX, INC.
Entity type:Organization
Organization Name:CONCEIVEX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:LOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-642-6917
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:MI
Mailing Address - Zip Code:48881
Mailing Address - Country:US
Mailing Address - Phone:616-642-6917
Mailing Address - Fax:616-642-0257
Practice Address - Street 1:5 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:SARANAC
Practice Address - State:MI
Practice Address - Zip Code:48881
Practice Address - Country:US
Practice Address - Phone:616-642-6917
Practice Address - Fax:616-642-0257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies