Provider Demographics
NPI:1821267691
Name:CROWNQUEST INC
Entity Type:Organization
Organization Name:CROWNQUEST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTELLINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-316-0802
Mailing Address - Street 1:PO BOX 80348
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48908-0348
Mailing Address - Country:US
Mailing Address - Phone:517-316-0802
Mailing Address - Fax:517-316-0804
Practice Address - Street 1:314 N WALNUT ST # 2
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48933-1124
Practice Address - Country:US
Practice Address - Phone:517-316-0802
Practice Address - Fax:517-316-0804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6087260001Medicare NSC