Great Lakes Med Solutions LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

GREAT LAKES MED SOLUTIONS LLC

Practice address

6700 Wyoming St
Dearborn, MI 48126-2345

Phone

(313) 582-6126

Fax

(888) 988-2202

NPI assigned

Sep 29, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Yaima Delgado

Title

President

Phone

(313) 582-7126

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1124302898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WYOMING ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262345",
            "telephone_number": "313-582-6126",
            "fax_number": "888-988-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WYOMING ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262345",
            "telephone_number": "313-582-6126",
            "fax_number": "888-988-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES MED SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "YAIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-582-7126",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoe Vertiee Grant
• Jessica Gray
• Brandi Nicole Grays
• Jeffery Allen Grayson
• Great Lakes Cardiovascular & Thoracic Surgeons
• Great Lakes Medical Laboratories, Inc.
• Great Lakes Musculoskeletal Ultrasound Inc.
• Great Lakes Pediatric Neurology
• Great Lakes Porter SVC
• Great Lakes Reading, PLLC

• Private Vehicle in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Private Vehicle in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.