Provider Demographics
NPI:1316013345
Name:ACTION MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:ACTION MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:HABLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-751-8680
Mailing Address - Street 1:29250 RYAN ROAD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-4242
Mailing Address - Country:US
Mailing Address - Phone:586-751-8680
Mailing Address - Fax:586-573-9661
Practice Address - Street 1:29250 RYAN ROAD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-4242
Practice Address - Country:US
Practice Address - Phone:586-751-8680
Practice Address - Fax:586-573-9661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI874503670Medicaid
540E008090OtherBC BS OF MI
MI4435460001Medicare NSC