Organization
PHOENIX MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMY BAYDOUN (CEO)
(313) 730-0007
Entity
Organization
Contact information
Practice address
25411 W WARREN ST STE D, DEARBORN HEIGHTS, MI 48127-3830
(313) 730-0007
(313) 730-0005
Mailing address
PO BOX 542, DEARBORN, MI 48121-0542
(313) 730-0007
(313) 730-0005
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
B-==-=======
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024626
MIDWEST HEALTH PLAN PIN #
MI
05
—
4805789
—
MI
01
—
540H225960
BCBS SUPPLIER PIN
MI
Enumeration date
12/12/2006
Last updated
10/22/2025
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