Comprehensive Diabetic Supplies, LLC
Durable Medical Equipment & Medical Supplies in Saint Clair Shores, MI. Organization (NPI-2).
Details
- NPI
- 1003124017
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Diabetic Supplies, LLC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2010
- Last updated
- Dec 28, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Comprehensive Diabetic & Nutrition Education, LLC (Doing Business As)
Practice location
21541 Harper AveSaint Clair Shores, MI 48080-2207
Phone 586-585-1540 · Fax 586-585-1537
Mailing address
21541 Harper AveSaint Clair Shores, MI 48080-2207
Phone 586-585-1540 · Fax 586-585-1537
Authorized official
Stacey Quilliam
Manager
5865851540
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Durable Medical Equipment & Medical Supplies providers in Saint Clair Shores · All 1,725 providers in Saint Clair Shores
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