Organization
MEDICAL EQUIPMENT DEPOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALVIN BYRD (PRESIDENT)
(248) 353-7791
Entity
Organization
Contact information
Practice address
21315 HILLTOP ST, SOUTHFIELD, MI 48033-4064
(248) 353-7791
Mailing address
21315 HILLTOP ST, SOUTHFIELD, MI 48033-4064
(248) 353-7791
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4433852 TYPE 87
—
MI
Enumeration date
04/14/2006
Last updated
08/27/2008
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