MEDICARE: PINNACLE LIFE INNOVATIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1790506673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINNACLE LIFE INNOVATIONS LLC

Provider Business Mailing Address
First Line	:	6926 SHANNON WILLOW RD STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-1335
Country	:	US
Telephone Number	:	279-786-7439
Fax Number	:

Provider Business Practice Location Address
First Line	:	6926 SHANNON WILLOW RD STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-1335
Country	:	US
Telephone Number	:	279-786-7439
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KAMOLIDDIN NAJMIDDINOV
Credential	:
Telephone Number	:	279-786-7439

Provider Enumeration Date	:	10/23/2024
Last Update Date	:	07/09/2025

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Directions to “PINNACLE LIFE INNOVATIONS LLC ” Practice Location

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