Provider Demographics
NPI:1457647448
Name:ULTIMATE MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:ULTIMATE MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SABAH
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:HAKIM
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:313-274-8200
Mailing Address - Street 1:2012 MONROE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-2938
Mailing Address - Country:US
Mailing Address - Phone:313-274-8200
Mailing Address - Fax:313-274-8201
Practice Address - Street 1:2012 MONROE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2938
Practice Address - Country:US
Practice Address - Phone:313-274-8200
Practice Address - Fax:313-274-8201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-28
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies