MEDICARE: CDM CONSULTING 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	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1417215088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CDM CONSULTING LLC

Provider Business Mailing Address
First Line	:	22150 GREENFIELD RD STE 205
Second Line	:
City	:	OAK PARK
State	:	MI
Zip	:	48237-2535
Country	:	US
Telephone Number	:	248-291-5801
Fax Number	:	248-291-5808

Provider Business Practice Location Address
First Line	:	22150 GREENFIELD RD STE 205
Second Line	:
City	:	OAK PARK
State	:	MI
Zip	:	48237-2535
Country	:	US
Telephone Number	:	248-291-5801
Fax Number	:	248-291-5808

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MS. CORINA MALONE
Credential	:
Telephone Number	:	248-291-5805

Provider Enumeration Date	:	05/02/2012
Last Update Date	:	05/02/2012

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Directions to “CDM CONSULTING LLC ” Practice Location

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