Healthcare Provider Details

I. General information

NPI: 1336420140
Provider Name (Legal Business Name): MDINR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2011
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 STONE AVE STE B
SAN JOSE CA
95125-1333
US

IV. Provider business mailing address

19387 US HIGHWAY 19 N
CLEARWATER FL
33764-3102
US

V. Phone/Fax

Practice location:
  • Phone: 800-877-4910
  • Fax: 408-955-0162
Mailing address:
  • Phone: 727-530-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY BARNHARD
Title or Position: CEO
Credential: AO
Phone: 727-259-2255