Provider Demographics
NPI:1508408485
Name:PROMED MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:PROMED MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-610-8833
Mailing Address - Street 1:39393 VAN DYKE AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-4637
Mailing Address - Country:US
Mailing Address - Phone:586-610-8833
Mailing Address - Fax:
Practice Address - Street 1:39393 VAN DYKE AVE STE 210
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-4637
Practice Address - Country:US
Practice Address - Phone:586-610-8833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-12
Last Update Date:2019-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies