Provider Demographics
NPI:1245385558
Name:PROGRESSIVE MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:PROGRESSIVE MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISHANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-595-9814
Mailing Address - Street 1:2535 S WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-5701
Mailing Address - Country:US
Mailing Address - Phone:734-595-9814
Mailing Address - Fax:734-595-9834
Practice Address - Street 1:2535 S WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-5701
Practice Address - Country:US
Practice Address - Phone:734-595-9814
Practice Address - Fax:734-595-9834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4636541Medicaid
MI4636541Medicaid