Provider Demographics
NPI:1902040074
Name:DEPENDABLE DME, LLC.
Entity Type:Organization
Organization Name:DEPENDABLE DME, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:504-994-4652
Mailing Address - Street 1:7606 WESTBANK EXPY
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-2304
Mailing Address - Country:US
Mailing Address - Phone:504-994-4652
Mailing Address - Fax:
Practice Address - Street 1:7606 WESTBANK EXPY
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-2304
Practice Address - Country:US
Practice Address - Phone:504-994-4652
Practice Address - Fax:504-483-8479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies