Provider Demographics
NPI:1912100561
Name:PROMPT MEDICAL EQUIPMENT AND SUPPLIES INC
Entity Type:Organization
Organization Name:PROMPT MEDICAL EQUIPMENT AND SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:YASIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-671-9518
Mailing Address - Street 1:24821 5 MILE RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3695
Mailing Address - Country:US
Mailing Address - Phone:313-671-9518
Mailing Address - Fax:313-535-9795
Practice Address - Street 1:24821 5 MILE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3695
Practice Address - Country:US
Practice Address - Phone:313-671-9518
Practice Address - Fax:313-535-9795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies