OrganizationActive
Comprehensive Diabetic Supplies, LLC
NPI 1003124017 · Durable Medical Equipment & Medical Supplies · Saint Clair Shores, MI
Provider details
- NPI number
- 1003124017
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Stacey Quilliam, Manager(586) 585-1540
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21541 Harper Ave
Saint Clair Shores, MI 48080-2207
Phone: (586) 585-1540
Fax: (586) 585-1537
Street-level locationGet directions
Mailing address
21541 Harper Ave
Saint Clair Shores, MI 48080-2207
Other names (DBA / former)
- Doing business as
- Comprehensive Diabetic & Nutrition Education, LLC
Registry dates
- Enumerated
- 2010-09-24
- Last updated
- 2012-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.