Provider Demographics
NPI:1538294061
Name:AMERICAN MEDICAL EQUIPMENT SUPPLIES, LLC
Entity Type:Organization
Organization Name:AMERICAN MEDICAL EQUIPMENT SUPPLIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-556-9987
Mailing Address - Street 1:5310 W CAPITOL DR
Mailing Address - Street 2:SUITE 314
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2263
Mailing Address - Country:US
Mailing Address - Phone:414-449-2292
Mailing Address - Fax:414-449-2293
Practice Address - Street 1:5310 W CAPITOL DR
Practice Address - Street 2:SUITE 314
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2263
Practice Address - Country:US
Practice Address - Phone:414-449-2292
Practice Address - Fax:414-449-2293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI5954420001Medicare NSC