Organization
GREAT LAKES HOME MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRFAN MAHMOOD (PRESIDENT)
(586) 779-3494
Entity
Organization
Contact information
Practice address
14200 E 11 MILE RD, WARREN, MI 48089-1467
(586) 779-3494
(586) 779-5474
Mailing address
14200 E 11 MILE RD, WARREN, MI 48089-1467
(586) 779-3494
(586) 779-5474
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2995414
—
MI
Enumeration date
05/08/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us