Provider Demographics
NPI:1265581045
Name:DISCOUNT UNIFORMS&MORE
Entity type:Organization
Organization Name:DISCOUNT UNIFORMS&MORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:IBEZIM
Authorized Official - Last Name:UDELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-838-0862
Mailing Address - Street 1:15520 GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-2223
Mailing Address - Country:US
Mailing Address - Phone:313-838-0862
Mailing Address - Fax:313-838-0904
Practice Address - Street 1:15520 GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48227-2223
Practice Address - Country:US
Practice Address - Phone:313-838-0862
Practice Address - Fax:313-838-0904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5664120001Medicare ID - Type UnspecifiedPROVIDER NUMBER