Organization Active NPI

Lytle Medical Technologies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Farmington Hills, MI
National Provider Identifier
1356465751
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LYTLE MEDICAL TECHNOLOGIES, LLC
Practice address
34119 W 12 Mile Rd Ste 130
Farmington Hills, MI 48331
Phone
(248) 626-3100
Fax
(248) 626-3113
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Patrick Davidson
Title
Ceo
Phone
(248) 626-3100

Specialties & licenses 1

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

Addresses

Primary practice location

34119 W 12 Mile Rd Ste 130
Farmington Hills, MI 48331

Mailing address

33228 W 12 Mile Rd # 327
Farmington Hills, MI 48334-3309
Phone (248) 626-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930059605 MI DME Supplier - Medical Supply Company 5799989828 Practice locations: Farmington Hills, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lytle Medical Technologies Inc34119 W 12 Mile Rd, Farmington Hills, MI 48331-3371(248) 626-3100 Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|Osteogenesis Stimulators|Pneumatic Compression Devices and/or Supplies|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers… Accepts assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory

Locations

31500 W 13 Mile Rd
Ste 130
Farmington Hills, MI 48334

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1356465751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33228 W 12 MILE RD # 327",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343309",
            "telephone_number": "248-626-3100",
            "fax_number": "248-626-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34119 W 12 MILE RD STE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48331",
            "telephone_number": "248-626-3100",
            "fax_number": "248-626-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYTLE MEDICAL TECHNOLOGIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-626-3100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.