Provider Demographics
NPI:1518356567
Name:DIAMEDICAL USA EQUIPMENT LLC
Entity Type:Organization
Organization Name:DIAMEDICAL USA EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:GILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERALTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-855-3966
Mailing Address - Street 1:7013 ORCHARD LAKE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3692
Mailing Address - Country:US
Mailing Address - Phone:248-855-3966
Mailing Address - Fax:248-671-1550
Practice Address - Street 1:7013 ORCHARD LAKE RD STE 110
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3692
Practice Address - Country:US
Practice Address - Phone:248-855-3966
Practice Address - Fax:248-671-1550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-14
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies