Provider Demographics
NPI:1396107926
Name:LIMBIONICS OF DURHAM, INC
Entity type:Organization
Organization Name:LIMBIONICS OF DURHAM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:LAINE
Authorized Official - Last Name:STRESING
Authorized Official - Suffix:
Authorized Official - Credentials:CPO, FAAOP
Authorized Official - Phone:919-908-8975
Mailing Address - Street 1:851 S BECKFORD DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-5910
Mailing Address - Country:US
Mailing Address - Phone:252-430-6538
Mailing Address - Fax:919-869-1987
Practice Address - Street 1:851 S BECKFORD DR
Practice Address - Street 2:SUITE B
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-5910
Practice Address - Country:US
Practice Address - Phone:252-430-6538
Practice Address - Fax:919-869-1987
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIMBIONICS OF DURHAM, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-23
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6824510001Medicaid