American Diabetic Supply, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Wixom, MI
NPI 1770575706 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1770575706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- AMERICAN DIABETIC SUPPLY, INC.
- Practice address
- 28317 Beck Rd
E-18
Wixom, MI 48393-4729 - Phone
- (248) 449-8055
- Fax
- (888) 449-8057
- NPI assigned
- Aug 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. William L Carlin
- Title
- President
- Phone
- (248) 449-8055
National Provider Directory
Locations
28317 Beck Rd
Ste E18
Wixom, MI 48393
Phone (248) 449-8055
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI | Yes |
Addresses
Primary practice location
28317 Beck Rd
E-18
Wixom, MI 48393-4729
Mailing address
PO Box 602
Novi, MI 48376-0602
Phone (248) 449-8055
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2750287 | Medicaid | OH | |
| 54-0-F3-1442-0 | Other | MI | BCBSMI PROVIDER ID |
| 4979367 | Medicaid | MI |
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All providers in Wixom, MI · Durable Medical Equipment & Medical Supplies in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.