Organization
MIMI MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MARLOW (MANAGER)
(667) 284-7662
Entity
Organization
Contact information
Practice address
1905 W RIVERSIDE BLVD, ROCKFORD, IL 61103-1502
(872) 702-3523
Mailing address
1905 W RIVERSIDE BLVD, ROCKFORD, IL 61103-1502
(872) 702-3523
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
03/11/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up