Great Lakes Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREAT LAKES MEDICAL SUPPLIES INC

Practice address

6811 Evergreen Ave
Detroit, MI 48228-4931

Phone

(313) 469-2881

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Rashid Al-Mehdi

Title

President

Phone

(313) 469-2881

Specialties & licenses 1

Addresses

Other names 1

• GREAT LAKES MEDICAL SUPPLIES INC Doing business as

Locations

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1104673516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 EVERGREEN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284931",
            "telephone_number": "313-469-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 EVERGREEN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482284931",
            "telephone_number": "313-469-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "AL-MEHDI",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-469-2881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT LAKES MEDICAL SUPPLIES INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Great Lakes Accident Service LTD.
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• Great Lakes Family Medical Center PLLC
• Great Lakes Family Medical Center PLLC
• Great Lakes Family Services
• Great Lakes Property & Investment, Inc
• Great Scott Homes Inc
• Great Scott Homes Inc.
• Great Star Transportation LLC
• Greater Blessings LLC

• Durable Medical Equipment & Medical Supplies in Detroit, MI
• Providers in Detroit, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.