Provider Demographics
NPI:1043324452
Name:U.S. MED MARK,INC.
Entity type:Organization
Organization Name:U.S. MED MARK,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-225-9779
Mailing Address - Street 1:11711 HERMITAGE RD
Mailing Address - Street 2:SUITE # 7
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3718
Mailing Address - Country:US
Mailing Address - Phone:501-225-9779
Mailing Address - Fax:501-225-6988
Practice Address - Street 1:11711 HERMITAGE RD
Practice Address - Street 2:SUITE # 7
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3718
Practice Address - Country:US
Practice Address - Phone:501-225-9779
Practice Address - Fax:501-225-6988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMG00318332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR49739OtherDME PROVIDER
AR1251360001Medicare NSC