Active NPI
Star Infusion and Compression Therapies LLC
- Durable Medical Equipment & Medical Supplies
- Grosse Ile, MI
National Provider Identifier
1508993759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- B14137
- Legal business name
- STAR INFUSION AND COMPRESSION THERAPIES LLC
- Practice address
- 9584 Grosse Ile Pkwy
Grosse Ile, MI 48138-1674 - Phone
- (734) 671-2163
- Fax
- (734) 671-0056
- NPI assigned
- Feb 27, 2007
- Last updated
- Sep 24, 2007
- 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
- Bruce Gordon Neller
- Title
- President Owner
- Phone
- (734) 671-2163
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | B14137 | MI | Primary |
Addresses
Primary practice location
9584 Grosse Ile Pkwy
Grosse Ile, MI 48138-1674
Mailing address
9584 Grosse Ile Pkwy
Grosse Ile, MI 48138-1674
Phone (734) 671-2163
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190592000000",
"number": "1508993759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9584 GROSSE ILE PKWY",
"city": "GROSSE ILE",
"state": "MI",
"postal_code": "481381674",
"telephone_number": "734-671-2163",
"fax_number": "734-671-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9584 GROSSE ILE PKWY",
"city": "GROSSE ILE",
"state": "MI",
"postal_code": "481381674",
"telephone_number": "734-671-2163",
"fax_number": "734-671-0056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR INFUSION AND COMPRESSION THERAPIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2007-09-24",
"status": "A",
"authorized_official_last_name": "NELLER",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "734-671-2163"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": "B14137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Ile, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.