Roberta's Lovely Ladies Boutique
NPI 1174983050ActiveOrganization· Mastectomy Fitter· Alton, IL
Mastectomy Fitter in Alton, Illinois, registered in NPPES in March 2016. The authorized official on file is Carol A. Logan, Owner. Enrolled in Medicare as dme supplier - medical supply company with orthotic-prosthetic.
Overview
| NPI | 1174983050 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2016 |
| Last updated in NPPES | Mar 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Mastectomy Fitter Primary | 224900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Medical Supply Company With Orthotic-Prosthetic (IL) |
|---|