MEDICARE: DIAMEDICAL USA EQUIPMENT 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	:	1518356567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAMEDICAL USA EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	7013 ORCHARD LAKE RD STE 110
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3692
Country	:	US
Telephone Number	:	248-855-3966
Fax Number	:	248-671-1550

Provider Business Practice Location Address
First Line	:	7013 ORCHARD LAKE RD STE 110
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3692
Country	:	US
Telephone Number	:	248-855-3966
Fax Number	:	248-671-1550

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS GILLIAN PERALTA
Credential	:
Telephone Number	:	248-855-3966

Provider Enumeration Date	:	01/14/2015
Last Update Date	:	08/19/2021

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Directions to “DIAMEDICAL USA EQUIPMENT LLC ” Practice Location

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