Provider Demographics
NPI:1114231727
Name:XCLUSIVE MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:XCLUSIVE MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVANOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-353-5500
Mailing Address - Street 1:28 N SAGINAW ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48342-2134
Mailing Address - Country:US
Mailing Address - Phone:248-353-5500
Mailing Address - Fax:248-630-4393
Practice Address - Street 1:28 N SAGINAW ST
Practice Address - Street 2:SUITE 202
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48342-2134
Practice Address - Country:US
Practice Address - Phone:248-353-5500
Practice Address - Fax:248-630-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies