Provider Demographics
NPI:1154483386
Name:MEDOX INC.
Entity Type:Organization
Organization Name:MEDOX INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTOWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-852-4100
Mailing Address - Street 1:1555 W. HAMLIN RD.
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3353
Mailing Address - Country:US
Mailing Address - Phone:248-852-4100
Mailing Address - Fax:248-852-4200
Practice Address - Street 1:1555 W. HAMLIN RD.
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-3353
Practice Address - Country:US
Practice Address - Phone:248-852-4100
Practice Address - Fax:248-852-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1159690001Medicare NSC