Provider Demographics
NPI:1306879085
Name:AIRRO2 MEDICAL SUPPLY & DIAGNOSTICS, INC.
Entity type:Organization
Organization Name:AIRRO2 MEDICAL SUPPLY & DIAGNOSTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PARLAPIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-445-8341
Mailing Address - Street 1:1213 CALLE DEL SOL
Mailing Address - Street 2:
Mailing Address - City:RATON
Mailing Address - State:NM
Mailing Address - Zip Code:87740-3603
Mailing Address - Country:US
Mailing Address - Phone:505-445-8341
Mailing Address - Fax:505-445-3562
Practice Address - Street 1:1213 CALLE DEL SOL
Practice Address - Street 2:
Practice Address - City:RATON
Practice Address - State:NM
Practice Address - Zip Code:87740-3603
Practice Address - Country:US
Practice Address - Phone:505-445-8341
Practice Address - Fax:505-445-3562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM02-336881-00 0332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO98003973Medicaid
NMP4066Medicaid
NM1132290001Medicare ID - Type Unspecified