Organization
MEDSUPPLY CORPORATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD QAZI (CEO)
(248) 386-0300
Entity
Organization
Contact information
Practice address
24455 GODDARD RD, TAYLOR, MI 48180-3933
(734) 992-6975
Mailing address
24455 GODDARD RD, TAYLOR, MI 48180-3933
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/17/2017
Last updated
02/02/2024
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