Active NPI
Justice Medical Source,Inc.
- Durable Medical Equipment & Medical Supplies
- Troy, MI
National Provider Identifier
1477803476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JUSTICE MEDICAL SOURCE,INC.
- Practice address
- 725 Thurber Dr
Troy, MI 48085-4887 - Phone
- (248) 212-6625
- NPI assigned
- Sep 17, 2012
- 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
- Mr. Joseph T Danna
- Title
- Owner
- Phone
- (248) 212-6625
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
725 Thurber Dr
Troy, MI 48085-4887
Mailing address
725 Thurber Dr
Troy, MI 48085-4887
Phone (248) 212-6625
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347840000000",
"number": "1477803476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 THURBER DR",
"city": "TROY",
"state": "MI",
"postal_code": "480854887",
"telephone_number": "248-212-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 THURBER DR",
"city": "TROY",
"state": "MI",
"postal_code": "480854887",
"telephone_number": "248-212-6625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUSTICE MEDICAL SOURCE,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-17",
"last_updated": "2012-09-17",
"status": "A",
"authorized_official_last_name": "DANNA",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-212-6625",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.