Active NPI
Evergreen Wellness Equipment Inc
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
National Provider Identifier
1073474730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EVERGREEN WELLNESS EQUIPMENT INC
- Practice address
- 3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805 - Phone
- (313) 353-9413
- NPI assigned
- Nov 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nazim Uddin Mohammed
- Title
- Manager
- Phone
- (313) 353-9413
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Mailing address
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2334130 | Evergreen Wellness Equipment Inc | Certificate of waiver | Nov 16, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1073474730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 GREENFIELD RD STE 300",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 GREENFIELD RD STE 300",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201805",
"telephone_number": "313-353-9413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN WELLNESS EQUIPMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-21",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "MOHAMMED",
"authorized_official_first_name": "NAZIM UDDIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "313-353-9413"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.