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ELITE MEDICAL SUPPLY LLC NPI 1518927029


NPI Information

NPI: 1518927029
Provider Name: ELITE MEDICAL SUPPLY LLC

Doing Business As: ORBIT MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4513 BROADMOOR AVE SE STE C
KENTWOOD, MI
ZIP 49512
Phone: (800) 430-0539
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ELITE MEDICAL SUPPLY LLC is a durable medical equipment medical supplies in Kentwood, MI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ELITE MEDICAL SUPPLY LLC NPI is 1518927029. The provider is registered as an organization entity type.
The provider Is Doing Business As Orbit Medical.

The provider's business location address is:

4513 BROADMOOR AVE SE STE C
KENTWOOD, MI
ZIP 49512-313
Phone: (800) 430-0539
Fax: (801) 281-4599

The provider's authorized official is Kiley Ann Russell .
The authorized official title is Senior Director Of Payor Relations and has the following contact phone number (629) 252-8211.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 4/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13469832MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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