Provider Demographics
NPI:1700200698
Name:UNITED MEDICAL EQUIPMENT & SUPPLIES,INC
Entity Type:Organization
Organization Name:UNITED MEDICAL EQUIPMENT & SUPPLIES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAHEED
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-979-4227
Mailing Address - Street 1:245 LINCOLN MALL DR
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2328
Mailing Address - Country:US
Mailing Address - Phone:248-979-4227
Mailing Address - Fax:708-833-8135
Practice Address - Street 1:245 LINCOLN MALL DR
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2328
Practice Address - Country:US
Practice Address - Phone:248-979-4227
Practice Address - Fax:708-833-8135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies