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MICHIGAN DIABETES SUPPLIES LCC
NPI 1356441687
Durable Medical Equipment & Medical Supplies in Holly, MI

Active since September 25, 2006
4038 GRANGE HALL RD, HOLLY, MI 48442(800) 321-5290(248) 634-2040 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michigan Diabetes Supplies Lcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN DIABETES SUPPLIES LCC (NPI 1356441687) is a healthcare organization registered as a durable medical equipment & medical supplies in Holly, Michigan and active in the NPI registry since September 2006. The organization lists Everard Lester Dominy, Owner, as its authorized official.

NPPES Registry Identity

NPI1356441687
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMICHIGAN DIABETES SUPPLIES LLC
Location Address4038 GRANGE HALL RDHolly, MI 48442-1160
Mailing Address4038 Grange Hall RdHolly, MI 48442-1160 · (800) 321-5290 · Fax (248) 634-2040
Phone(800) 321-5290
Fax(248) 634-2040
Organization SubpartNo
Authorized OfficialEverard Lester DominyOwner · (800) 321-5290
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356441687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4038 GRANGE HALL RD, Holly, MI 48442
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Other Names 1

Doing Business AsMichigan Diabetes Supplies Lcc

Other Identifiers 1

Medicaid2893512MI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY FOOT & ANKLE SPECIALISTS PLC
Podiatrist (Foot & Ankle Surgery)
4038 GRANGE HALL RD
HOLLY, MI 48442
Oakland County (248) 634-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Diabetes Supplies LLC's NPI number?

The NPI number for Michigan Diabetes Supplies LLC is 1356441687. It was assigned to this organization in the NPPES registry on September 25, 2006. The provider is doing business as Michigan Diabetes Supplies Lcc.

Where is Michigan Diabetes Supplies LLC located?

Michigan Diabetes Supplies LLC is located at 4038 Grange Hall Rd, Holly, MI 48442. The listed phone number is (800) 321-5290.

What is Michigan Diabetes Supplies LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Michigan Diabetes Supplies LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.