# INCOBA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dynaris
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497549984
- **Authorized official:** MR. ALONZO C AYLSWORTH (CEO/CTO)
- **Authorized official phone:** (314) 920-2777

## Contact information

- **Practice address:** 743 SPIRIT 40 PARK DR STE 108, CHESTERFIELD, MO 63005-1121
- **Practice address phone:** (636) 778-1926
- **Mailing address:** 743 SPIRIT 40 PARK DR STE 108, CHESTERFIELD, MO 63005-1121
- **Mailing address phone:** (636) 778-1926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2025
- **Last updated:** 04/08/2025