Organization
INFINITY MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RAY LORETT RRT (MANAGING PARTNER)
(505) 325-0963
Entity
Organization
Contact information
Practice address
2012 SAN JUAN BLVD, FARMINGTON, NM 87401-2220
(505) 325-0963
(505) 436-2294
Mailing address
2012 SAN JUAN BLVD, FARMINGTON, NM 87401-2220
(505) 325-0963
(505) 436-2294
Taxonomy
Speciality
Code
Description
License number
State
225B00000X
Pulmonary Function Technologist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
625836300
DEEOIC
NM
Enumeration date
10/20/2017
Last updated
09/12/2025
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