NPI Code Detail JSON Logo

1902052657 NPI number — DIABETIC SUPPLY CENTER

NPI Number: 1902052657
Health Care Provider/Practitioner: DIABETIC SUPPLY CENTER

Information about “1902052657” NPI (DIABETIC SUPPLY CENTER) exists in 1902052657 in HTML format HTML  |  1902052657 in plain Text format TXT  |  1902052657 in PDF (Portable Document Format) PDF  |  1902052657 in an XML format XML  formats.

NPI Number : 1902052657 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902052657",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DIABETIC SUPPLY CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "21500 HARPER AVE",
    "SecondLineMailingAddress": "SUITE 500",
    "MailingAddressCityName": "SAINT CLAIR SHORES",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48080-2211",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "586-350-0623",
    "MailingAddressFaxNumber": "888-712-7443",
    "FirstLinePracticeLocationAddress": "21500 HARPER AVE",
    "SecondLinePracticeLocationAddress": "SUITE 500",
    "PracticeLocationAddressCityName": "SAINT CLAIR SHORES",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48080-2211",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "586-350-0623",
    "PracticeLocationAddressFaxNumber": "888-712-7443",
    "EnumerationDate": "08/13/2008",
    "LastUpdateDate": "10/29/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HERNADI",
    "AuthorizedOfficialFirstName": "NANDOR",
    "AuthorizedOfficialMiddleName": "JOSEPH",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "313-478-3268",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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