Provider Demographics
NPI:1457422263
Name:METROMED HEALTH CARE EQUIPMENT, INC.
Entity Type:Organization
Organization Name:METROMED HEALTH CARE EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAZHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-578-0577
Mailing Address - Street 1:3456 E 12 MILE RD
Mailing Address - Street 2:STE 5
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-2511
Mailing Address - Country:US
Mailing Address - Phone:586-578-0577
Mailing Address - Fax:586-578-0578
Practice Address - Street 1:3456 E 12 MILE RD
Practice Address - Street 2:STE 5
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-2511
Practice Address - Country:US
Practice Address - Phone:586-578-0577
Practice Address - Fax:586-578-0578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5878830001Medicare NSC