Provider Demographics
NPI:1700378437
Name:TALEM TECHNOLOGIES LLC
Entity Type:Organization
Organization Name:TALEM TECHNOLOGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-748-7534
Mailing Address - Street 1:400 RENAISSANCE CTR STE 2900
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48243-1602
Mailing Address - Country:US
Mailing Address - Phone:313-262-3370
Mailing Address - Fax:
Practice Address - Street 1:400 RENAISSANCE CTR STE 2900
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48243-1602
Practice Address - Country:US
Practice Address - Phone:313-262-3370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier