Organization
INGOLIA MEDICAL SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD P. INGOGLIA (PRESIDENT)
(248) 299-3655
Entity
Organization
Contact information
Practice address
1790 S LIVERNOIS RD, STE. 113, ROCHESTER HILLS, MI 48307-3375
(248) 299-3655
(248) 299-3695
Mailing address
1739 BROOKVIEW CIR, BLOOMFIELD HILLS, MI 48304-1220
(248) 299-3655
(248) 299-3695
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1768743
—
MI
01
—
OF3058454
BCBSM
MI
Enumeration date
06/02/2006
Last updated
08/22/2020
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