Provider Demographics
NPI:1154219608
Name:THE THINK TANK 3D
Entity type:Organization
Organization Name:THE THINK TANK 3D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR./OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LERRLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:313-515-5380
Mailing Address - Street 1:17101 ALBION ST STE 300
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-3808
Mailing Address - Country:US
Mailing Address - Phone:313-515-5380
Mailing Address - Fax:
Practice Address - Street 1:17101 ALBION ST STE 300
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-3808
Practice Address - Country:US
Practice Address - Phone:313-472-8661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No305S00000XManaged Care OrganizationsPoint of Service
No332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
No332100000XSuppliersDepartment of Veterans Affairs (VA) Pharmacy
No332800000XSuppliersIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
No332900000XSuppliersNon-Pharmacy Dispensing Site
No253Z00000XAgenciesIn Home Supportive Care
No261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No376K00000XNursing Service Related ProvidersNurse's Aide