Organization
INNOVATIVE RESPIRATORY AND MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN D SMITH (PRESIDENT)
(615) 662-9941
Entity
Organization
Contact information
Practice address
7978-B COLEY DAVIS ROAD, NASHVILLE, TN 37221-2399
(615) 662-9941
(615) 662-4522
Mailing address
7978-B COLEY DAVIS ROAD, NASHVILLE, TN 37221-2399
(615) 662-9941
(615) 662-4522
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2220
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454914
—
TN
01
—
2220
STATE LICENSE NUMBER
TN
01
—
4101933
BC/BS OF TENNESSE NUMBER
TN
Enumeration date
02/17/2006
Last updated
04/03/2012
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