Organization
AMERICAN DIABETIC SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM L CARLIN (PRESIDENT)
(248) 449-8055
Entity
Organization
Contact information
Practice address
28317 BECK RD, E-18, WIXOM, MI 48393-4729
(248) 449-8055
(888) 449-8057
Mailing address
PO BOX 602, NOVI, MI 48376-0602
(248) 449-8055
(888) 449-8057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2750287
—
OH
05
—
4979367
—
MI
01
—
54-0-F3-1442-0
BCBSMI PROVIDER ID
MI
Enumeration date
08/16/2005
Last updated
07/21/2022
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