Provider Demographics
NPI:1417183559
Name:ADVANCED MEDICAL EQUIPMENT & SUPPLIES, LLC
Entity Type:Organization
Organization Name:ADVANCED MEDICAL EQUIPMENT & SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KUEHNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-482-0922
Mailing Address - Street 1:2925 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-6046
Mailing Address - Country:US
Mailing Address - Phone:734-482-0922
Mailing Address - Fax:734-482-0933
Practice Address - Street 1:2925 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-6046
Practice Address - Country:US
Practice Address - Phone:734-482-0922
Practice Address - Fax:734-482-0933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6416280001Medicare NSC