Medline Industries, LP

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDLINE INDUSTRIES, LP

Practice address

36445 Van Born Rd Ste 200
Romulus, MI 48174-4051

Phone

(734) 728-6396

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

James Boyle

Title

Authorized Person

Phone

(844) 265-6512

Specialties & licenses 2

Addresses

Other names 1

• Medline Industries, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1992161517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAKES DR.",
            "address_2": "ATTN: HOMECARE COMPLIANCE",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932753",
            "telephone_number": "844-265-6512",
            "fax_number": "866-779-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36445 VAN BORN RD STE 200",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481744051",
            "telephone_number": "734-728-6396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10401 Harrison",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Romulus",
            "state": "MI",
            "postal_code": "481742648",
            "country_code": "US",
            "telephone_number": "847-646-3864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDLINE INDUSTRIES, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2023-01-13",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "844-265-6512"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medline Industries, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Medline Industries, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.