Provider Demographics
NPI:1811376312
Name:DME PROS, LLC
Entity Type:Organization
Organization Name:DME PROS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DURKEE
Authorized Official - Suffix:
Authorized Official - Credentials:COF
Authorized Official - Phone:770-344-9819
Mailing Address - Street 1:8024 SAVANNAH LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-9253
Mailing Address - Country:US
Mailing Address - Phone:770-344-9819
Mailing Address - Fax:
Practice Address - Street 1:8024 SAVANNAH LN
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-9253
Practice Address - Country:US
Practice Address - Phone:770-344-9819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies