<Unavail>

LBN: Broadband Innovation Group
<Unavail> is an health care organization with primary practice located at 2915 Raeford Rd Ste 203 , Fayetteville NC 28303-5491. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Broadband Innovation Group can be contacted via phone (910) 378-1966, or through Samuels, Levi via phone (910) 824-2872.

Contact Information

Primary practice address
2915 Raeford Rd Ste 203 Fayetteville NC 28303-5491
Phone: (910) 378-1966
Fax: (910) 378-1962
Website:
Map and Directions
Authorized official contact:
Name: Samuels, Levi
Phone: (910) 824-2872

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1720558893
LBN Legal business name Broadband Innovation Group
DBA Doing business as <Unavail>
Authorized official Samuels, Levi
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2018
Last updated Feb 6th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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