Provider Demographics
NPI:1932209079
Name:I-FLOW CORPORATION
Entity type:Organization
Organization Name:I-FLOW CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MARNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-292-0158
Mailing Address - Street 1:20202 WINDROW DR
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-8152
Mailing Address - Country:US
Mailing Address - Phone:800-448-3569
Mailing Address - Fax:
Practice Address - Street 1:1551 E LINCOLN AVE
Practice Address - Street 2:SUITE 122
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-4159
Practice Address - Country:US
Practice Address - Phone:248-546-4326
Practice Address - Fax:248-546-4356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62623332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2482330001Medicare ID - Type Unspecified