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IMAGE OBSESSION LLC NPI 1497374557


NPI Information

NPI: 1497374557
Provider Name: IMAGE OBSESSION LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1855 E MAIN ST # SR03
SPARTANBURG, SC
ZIP 29307
Phone: (864) 237-8148
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IMAGE OBSESSION LLC is a prosthetic orthotic supplier in Spartanburg, SC. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. IMAGE OBSESSION LLC NPI is 1497374557. The provider is registered as an organization entity type.

The provider's business location address is:

1855 E MAIN ST # SR03
SPARTANBURG, SC
ZIP 29307-309
Phone: (864) 237-8148
Fax: (207) 255-7679

The provider's authorized official is Treonna Rogers .
The authorized official title is Owner and has the following contact phone number (864) 237-8148.

The enumeration date for this NPI number is 4/9/2020 and was last updated on 4/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12000027094OTHERSOUTH CAROLINABUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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