Organization
LEEWAY DURABLE MEDICAL EQUIPMENT LLC.
Active
Organization
LEEWAY DURABLE MEDICAL EQUIPMENT LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED KHURRAM RIZVI (CEO/ADMINISTRATOR)
(734) 325-4363
Entity
Organization
Contact information
Practice address
17515 W 9 MILE RD, SUITE 750, SOUTHFIELD, MI 48075-4403
(248) 552-0910
(248) 552-1329
Mailing address
5820 NORTH CANTON CENTER RD, SUITE 140-1, CANTON, MI 48187-2681
(734) 325-4363
(248) 552-1329
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
B66583
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27234
STATE ID NUMBER
MI
Enumeration date
11/01/2006
Last updated
10/26/2011
Update your record
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