Provider Demographics
NPI:1093370975
Name:SYMED, INC.
Entity Type:Organization
Organization Name:SYMED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:SORENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-477-8993
Mailing Address - Street 1:2820 W MAPLE RD STE 245
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-7065
Mailing Address - Country:US
Mailing Address - Phone:773-477-8991
Mailing Address - Fax:773-477-4001
Practice Address - Street 1:2820 W MAPLE RD STE 245
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-7065
Practice Address - Country:US
Practice Address - Phone:773-477-8991
Practice Address - Fax:773-477-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies