Provider Demographics
NPI:1194413872
Name:BOSTON DME COMPANY LLC
Entity type:Organization
Organization Name:BOSTON DME COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:
Authorized Official - Last Name:URIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-251-4018
Mailing Address - Street 1:67 MAPLEWOOD ST STE 120
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-4377
Mailing Address - Country:US
Mailing Address - Phone:857-251-4018
Mailing Address - Fax:
Practice Address - Street 1:67 MAPLEWOOD ST STE 120
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-4377
Practice Address - Country:US
Practice Address - Phone:857-251-4018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies