MEDLINE MEDICAL SUPPLIES LLC NPI 1104593474

NPI Information

  • NPI: 1104593474
  • Provider Name: MEDLINE MEDICAL SUPPLIES LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 7255 CHASE RD
    DEARBORN, MI
    ZIP 48126
  • Phone: (313) 622-7648

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NPI Details

MEDLINE MEDICAL SUPPLIES LLC is a customized equipment durable medical equipment medical supplies in Dearborn, MI. MEDLINE MEDICAL SUPPLIES LLC NPI is 1104593474. The provider is registered as an organization entity type.

The provider's business location address is:

7255 CHASE RD
DEARBORN, MI
ZIP 48126-301
Phone: (313) 622-7648

The provider's authorized official is Fatima Tekko .
The authorized official title is Owner and has the following contact phone number (313) 622-7648.

The enumeration date for this NPI number is 8/25/2021 and was last updated on 8/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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