Provider Demographics
NPI:1740790393
Name:SANUS DME LLC
Entity Type:Organization
Organization Name:SANUS DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-338-9692
Mailing Address - Street 1:18291 N PIMA RD
Mailing Address - Street 2:STE 110 BOX 324
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5698
Mailing Address - Country:US
Mailing Address - Phone:602-734-1826
Mailing Address - Fax:602-734-1835
Practice Address - Street 1:17300 N PERIMETER DR
Practice Address - Street 2:STE 150
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255
Practice Address - Country:US
Practice Address - Phone:602-734-1826
Practice Address - Fax:602-734-1835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies