Provider Demographics
NPI:1912078387
Name:ALLIED MEDICAL EQUIPMENT AND SUPPLIES
Entity Type:Organization
Organization Name:ALLIED MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EKAETE
Authorized Official - Middle Name:
Authorized Official - Last Name:UMOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-200-2889
Mailing Address - Street 1:19011 W 10 MILE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2442
Mailing Address - Country:US
Mailing Address - Phone:248-200-2889
Mailing Address - Fax:248-200-2896
Practice Address - Street 1:19011 W 10 MILE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2442
Practice Address - Country:US
Practice Address - Phone:248-200-2889
Practice Address - Fax:248-200-2896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies