Provider Demographics
NPI:1467497826
Name:DURAMED SUPPLY & BILLING SOLUTIONS LLC
Entity Type:Organization
Organization Name:DURAMED SUPPLY & BILLING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMZI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABULHAJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:705-285-6400
Mailing Address - Street 1:9300 HARRIS CORNERS PKWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-3790
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:513 N MCDUFFIE ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5528
Practice Address - Country:US
Practice Address - Phone:864-222-1200
Practice Address - Fax:864-222-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5711110001Medicare NSC