Organization Name: | COLOSSEUM, INC. |
NPI Number: | 1871674366 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAAD KOUZA (PHARMACIST) |
Mailing Address: | 27260 Eureka Rd Taylor |
State: | MI US |
Postal Code: | 481804845 |
Phone Number: | 7349559110 |
Fax Number: | 7349559101 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5301007587 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |