Organization
EXPRESS CARE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA ILYASOV (PRESIDENT)
(248) 451-0073
Entity
Organization
Contact information
Practice address
12 W HURON ST, PONTIAC, MI 48342-2100
(248) 451-0073
Mailing address
12 W HURON ST, PONTIAC, MI 48342-2100
(248) 451-0073
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6612000001
MEDICARE PTAN
MI
Enumeration date
02/21/2011
Last updated
05/07/2014
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