| Organization Name: | CUSTOM SCRIPT LLC |
| NPI Number: | 1053642041 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EYAD KHADR (OWNER) |
| Mailing Address: | 25302 W Warren St Dearborn Heights |
| State: | MI US |
| Postal Code: | 481272102 |
| Phone Number: | 8105880000 |
| Fax Number: | 8886478587 |
| NPI Enumeration Date: | 01/15/2010 |
| NPI Last Update Date: | 03/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 5301009280 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |