Provider Demographics
NPI:1497875116
Name:ALERT INFUSION SERVICES INC
Entity Type:Organization
Organization Name:ALERT INFUSION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRENNAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:248-593-5821
Mailing Address - Street 1:30825 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1595
Mailing Address - Country:US
Mailing Address - Phone:248-593-5821
Mailing Address - Fax:248-593-5875
Practice Address - Street 1:30825 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1595
Practice Address - Country:US
Practice Address - Phone:248-593-5821
Practice Address - Fax:248-593-5875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI312105587Medicaid
MI540F31059OtherBCBSM
MI311984350OtherMCD
MI3119843OtherMCD
MI3121055Medicaid
MI0928540001Medicare ID - Type Unspecified