Provider Demographics
NPI:1811931132
Name:ABBOTT HEALTH SERVICES, INC
Entity type:Organization
Organization Name:ABBOTT HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-792-5166
Mailing Address - Street 1:3630 SHATTUCK RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-7004
Mailing Address - Country:US
Mailing Address - Phone:989-792-5166
Mailing Address - Fax:989-497-0793
Practice Address - Street 1:3630 SHATTUCK RD
Practice Address - Street 2:SUITE 2
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-7004
Practice Address - Country:US
Practice Address - Phone:989-792-5166
Practice Address - Fax:989-497-0793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
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
MI1308820001Medicare ID - Type Unspecified