Provider Demographics
NPI:1689804015
Name:CONCEPT MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:CONCEPT MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:ZIGARAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-580-2088
Mailing Address - Street 1:50647 WING DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-3263
Mailing Address - Country:US
Mailing Address - Phone:586-580-2088
Mailing Address - Fax:877-433-5468
Practice Address - Street 1:50647 WING DR
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-3263
Practice Address - Country:US
Practice Address - Phone:586-580-2088
Practice Address - Fax:877-433-5468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOF38966OtherBCBS
MI6394570001Medicare NSC