Provider Demographics
NPI:1033571864
Name:UNITED DME LLC
Entity Type:Organization
Organization Name:UNITED DME LLC
Other - Org Name:UNITED DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PINNCALE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-564-3747
Mailing Address - Street 1:PO BOX 29650
Mailing Address - Street 2:DEPT #880124
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9650
Mailing Address - Country:US
Mailing Address - Phone:480-565-3747
Mailing Address - Fax:
Practice Address - Street 1:8924 E PINNACLE PEAK RD
Practice Address - Street 2:SUITE G5-114
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255
Practice Address - Country:US
Practice Address - Phone:480-565-3747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies