MEDICARE: C AND L DME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1124973417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C AND L DME LLC

Provider Business Mailing Address
First Line	:	8817 EPWORTH
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204
Country	:	US
Telephone Number	:	248-933-7409
Fax Number	:

Provider Business Practice Location Address
First Line	:	8817 EPWORTH
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204
Country	:	US
Telephone Number	:	248-933-7409
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LEON JOHNSON JR.
Credential	:
Telephone Number	:	248-933-7409

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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