Provider Demographics
NPI:1619559671
Name:M JOSEPH RESPIRATORY SERVICES, LLC
Entity type:Organization
Organization Name:M JOSEPH RESPIRATORY SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-855-4576
Mailing Address - Street 1:PO BOX 436559
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40253-6559
Mailing Address - Country:US
Mailing Address - Phone:888-959-8588
Mailing Address - Fax:
Practice Address - Street 1:11900 BRINLEY AVE STE 101
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1098
Practice Address - Country:US
Practice Address - Phone:888-959-8588
Practice Address - Fax:502-244-8854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies