Premier Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PREMIER MEDICAL SUPPLIES

Practice address

529 N Gulley Rd
Dearborn HTS, MI 48127-3453

Phone

(313) 207-5767

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

Abla Soueidan

Title

Owner

Phone

(313) 207-5767

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1982250049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 N GULLEY RD",
            "city": "DEARBORN HTS",
            "state": "MI",
            "postal_code": "481273453",
            "telephone_number": "313-207-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N GULLEY RD",
            "city": "DEARBORN HTS",
            "state": "MI",
            "postal_code": "481273453",
            "telephone_number": "313-207-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "SOUEIDAN",
        "authorized_official_first_name": "ABLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-207-5767"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PREMIERMEDICALMOVEMENT@GMAIL.COM",
            "affiliation": "N",
            "address_1": "529 N Gulley Rd",
            "city": "Dearborn Hts",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481273453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.