Organization
LIFE EXTENSION MEDICAL EQUIPMENT LLC
Active
Organization
LIFE EXTENSION MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AZHAR UL ISLAM (PRESIDENT)
(248) 280-3820
Entity
Organization
Contact information
Practice address
29350 SOUTHFIELD RD, SUITE 115, SOUTHFIELD, MI 48076-2053
(248) 395-1511
Mailing address
11 W 14 MILE RD, SUITE 207, CLAWSON, MI 48017-3104
(248) 280-3820
(248) 280-3823
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
B
MI
Other
Enumeration date
06/29/2006
Last updated
07/21/2022
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