Provider Demographics
NPI:1811761034
Name:RB MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:RB MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-290-0577
Mailing Address - Street 1:7716 TYLER BLVD
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4802
Mailing Address - Country:US
Mailing Address - Phone:440-290-0577
Mailing Address - Fax:440-226-8337
Practice Address - Street 1:7716 TYLER BLVD
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-4802
Practice Address - Country:US
Practice Address - Phone:440-290-0577
Practice Address - Fax:440-226-8337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies