INFINITE SUPPORT MEDICAL SERVICES LLC; NPI #1174067144

Contact Information

INFINITE SUPPORT MEDICAL SERVICES LLC

155 WESTRIDGE PKWY
SUITE 212
MCDONOUGH, GA 30253

Phone: 678-782-3024
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for INFINITE SUPPORT MEDICAL SERVICES LLC

NPI # 1174067144

LBN Legal business name INFINITE SUPPORT MEDICAL SERVICES LLC

Authorized official DALE MATTHIAS - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/11/2016

Last updated 05/17/2018 - About 8 years ago

Identifiers

License #

AMB2017001

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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