Provider Demographics
NPI:1023226784
Name:LOMAR, INC.
Entity type:Organization
Organization Name:LOMAR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-750-7500
Mailing Address - Street 1:3300 N RIDGE RD
Mailing Address - Street 2:SUITE 390
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3383
Mailing Address - Country:US
Mailing Address - Phone:410-750-7500
Mailing Address - Fax:410-750-7902
Practice Address - Street 1:3300 N RIDGE RD
Practice Address - Street 2:SUITE 390
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-3383
Practice Address - Country:US
Practice Address - Phone:410-750-7500
Practice Address - Fax:410-750-7902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13246789332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0388600001Medicare NSC