Organization Active NPI

Supreme Medical Equipment, Inc

  • Oxygen Equipment & Supplies (DME)
  • Tempe, AZ
National Provider Identifier
1619091782
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
1547690 Issued in MI
Legal business name
SUPREME MEDICAL EQUIPMENT, INC
Practice address
4667 S Lakeshore Dr
BLDG. 4 Suite 1
Tempe, AZ 85282-7293
Phone
(480) 664-6818
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Mr. Amjad Aslam
Title
President
Phone
(480) 664-6818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 1547690 MI Primary

Addresses

Primary practice location

4667 S Lakeshore Dr
BLDG. 4 Suite 1
Tempe, AZ 85282-7293

Mailing address

4667 S Lakeshore Dr
BLDG. 4 Suite 1
Tempe, AZ 85282-7293
Phone (480) 664-6818

National Provider Directory

National Provider Directory

Locations

4667 S Lakeshore Dr
Ste 1
Tempe, AZ 85282
Phone (480) 664-6818

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1619091782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4667 S LAKESHORE DR",
            "address_2": "BLDG. 4 SUITE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827293",
            "telephone_number": "480-664-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4667 S LAKESHORE DR",
            "address_2": "BLDG. 4 SUITE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827293",
            "telephone_number": "480-664-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "ASLAM",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-664-6818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": "1547690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.