Provider Demographics
NPI:1174843320
Name:THOMAS DME, LLC
Entity Type:Organization
Organization Name:THOMAS DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PHD
Authorized Official - Phone:248-650-1984
Mailing Address - Street 1:1050 W UNIVERSITY DR STE 1B
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1877
Mailing Address - Country:US
Mailing Address - Phone:248-726-0229
Mailing Address - Fax:248-726-9559
Practice Address - Street 1:1050 W UNIVERSITY DR
Practice Address - Street 2:SUITE 1B
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1877
Practice Address - Country:US
Practice Address - Phone:248-726-0229
Practice Address - Fax:248-726-9556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6525580001Medicare PIN