Organization
MDINR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BARNHARD AO (CEO)
(727) 259-2255
Entity
Organization
Contact information
Practice address
1718 STONE AVE STE B, SAN JOSE, CA 95125-1333
(800) 877-4910
(408) 955-0162
Mailing address
19387 US HIGHWAY 19 N, CLEARWATER, FL 33764-3102
(727) 530-7700
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA129226
IDTF PTAN
CA
Enumeration date
09/07/2011
Last updated
10/09/2025
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