Provider Demographics
NPI:1760529135
Name:PREMIER MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:PREMIER MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MICHOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-237-1130
Mailing Address - Street 1:453 BERTRAND DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-5555
Mailing Address - Country:US
Mailing Address - Phone:337-237-1130
Mailing Address - Fax:
Practice Address - Street 1:453 BERTRAND DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-5555
Practice Address - Country:US
Practice Address - Phone:337-237-1130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAB2978OtherBCBS OF LA
LA1995231Medicaid
LA1995231Medicaid