Organization Active NPI

Supply Line International Medical

  • Durable Medical Equipment & Medical Supplies
  • Commerce Township, MI
National Provider Identifier
1881016111
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUPPLY LINE INTERNATIONAL MEDICAL
Practice address
746 Welch Rd
Commerce Township, MI 48390-3812
Phone
(248) 436-1642
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Authorized official

Name
Mr. Josh Kaplan
Title
Managing Director
Phone
(248) 436-1642

Specialties & licenses 1

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

Addresses

Primary practice location

746 Welch Rd
Commerce Township, MI 48390-3812

Mailing address

746 Welch Rd
Commerce Township, MI 48390-3812

National Provider Directory

National Provider Directory

Locations

746 Welch Rd
Commerce Township, MI 48390
Phone (248) 436-1642

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1881016111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 WELCH RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 WELCH RD",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903812",
            "telephone_number": "248-436-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLY LINE INTERNATIONAL MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "248-436-1642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.