Organization Active NPI

Pathema DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Lauderhill, FL
National Provider Identifier
1154895027
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PATHEMA DME LLC
Practice address
4300 N University Dr Ste C101
Lauderhill, FL 33351
Phone
(754) 200-5134
NPI assigned
Jan 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Mr. Christopher Todd Eaves
Title
President
Phone
(754) 702-7168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4300 N University Dr Ste C101
Lauderhill, FL 33351

Mailing address

4800 140TH Avenue
Ste 102
Clearwater, FL 33762
Phone (754) 200-5134

National Provider Directory

National Provider Directory

Locations

4300 N University Dr
Ste C101
Lauderhill, FL 33351
Phone (754) 200-9767

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1154895027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 140TH AVENUE",
            "address_2": "STE 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33762",
            "telephone_number": "754-200-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE C101",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "754-200-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHEMA DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "EAVES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "754-702-7168",
        "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": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.