Provider Demographics
NPI:1205021334
Name:PREMIER HEALTH MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:PREMIER HEALTH MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATIF
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-718-9993
Mailing Address - Street 1:26550 JOHN R RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3612
Mailing Address - Country:US
Mailing Address - Phone:248-298-2012
Mailing Address - Fax:
Practice Address - Street 1:26550 JOHN R RD
Practice Address - Street 2:SUITE B
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3612
Practice Address - Country:US
Practice Address - Phone:248-298-2012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies