Marc's Leather Repair, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MARC'S LEATHER REPAIR, LLC

Practice address

104 E 4TH St
Marion, IN 46952-4000

Phone

(765) 664-5475

NPI assigned

May 24, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marc A Lobdell, LPN, PST

Title

Owner/Ceo

Phone

(765) 661-0369

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1578054649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 4TH ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469524000",
            "telephone_number": "765-664-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 4TH ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469524000",
            "telephone_number": "765-664-5475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 Arnold Ct",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023702",
            "country_code": "US",
            "telephone_number": "765-453-9063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARC'S LEATHER REPAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "LOBDELL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "765-661-0369",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN, PST"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Major Hospital (Aperion Care Marion)
• Major Hospital (Aperion Care Marion LLC)
• Scott Lewis Makin, LMHC, NCC
• Robert George Mallison III, BSCJ, MATS
• Shamane E Mann
• Alyson Marcum, RBT
• Michelle Marin
• Kayla Marine, RBT
• Denese M Marino, PSYD, HSPP
• Marion Al, LLC

• Prosthetic/Orthotic Supplier in Marion, IN
• Providers in Marion, IN by specialty
• Prosthetic/Orthotic Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.